Kimberly Jane Collins, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

C8113 Issued in AR

Practice address

15100 N 593 Rd
Tahlequah, OK 74464-1911

Phone

(918) 822-3302

NPI assigned

Jun 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency MedicineAlso: Obstetrics/Gynecology

Education

University of Arkansas College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DHHS PHS Naihs Crownpoint HospitalGroup PAC ID 0143128041, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crownpoint Healthcare Facility Hospital, Crownpoint, NM, CCN 320062

Merit-based Incentive Payment System (MIPS)

Final score

83.65 of 100Reported as group

Quality

68.3

Improvement activities

40

Cost

86.97

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DHHS PHS Naihs Crownpoint Hospital

  • General Acute Care Hospital
  • Crownpoint, NM
  • NPI 1114960093

  TX

  Medicare reassignment Care Compare group NPD
• Pueblo Pintado Clinic

  • Clinic/Center
  • Cuba, NM
  • NPI 1023051133
  NPD
• Thoreau Clinic

  • Clinic/Center
  • Thoreau, NM
  • NPI 1679516702
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DHHS PHS Naihs Crownpoint Hospital

  • General Acute Care Hospital
  • Crownpoint, NM
  • NPI 1114960093
  Care Compare affiliation
• Pueblo Pintado Clinic

  • Clinic/Center
  • Cuba, NM
  • NPI 1023051133

  Hospital

  Care Compare affiliation
• Thoreau Clinic

  • Clinic/Center
  • Thoreau, NM
  • NPI 1679516702

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336178805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 N 593 RD",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744641911",
            "telephone_number": "918-453-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 N 593 RD",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744641911",
            "telephone_number": "918-822-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KIMBERLY",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "C8113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3118113",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christie Lea Coggburn, RD, LD,CSR
• George Shaker Cohlmia Jr., M.D.
• Carrie Elaine Colburn
• Gina Elizabeth Cole, CNM, MSN; FNP
• Zachary Daniel Collett, M.S., ATC, LAT
• Shawn Ellen Collins
• Mark Alan Combrink, PHARMD
• Consulting and Counseling for Community Change, PLLC
• Kimberley Lee Cook-Vaughn, LADC #624
• Deborah Marie Cookson, PHARM.D.

• Emergency Medicine Physician in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Emergency Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.