Individual provider Active NPI

Kimberly Ellis Barron, NP

  • Nurse Practitioner
  • High Point, NC
National Provider Identifier
1366277667
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5020800 Issued in NC
Practice address
624 Quaker LN Ste 100E
High Point, NC 27262-3832
Phone
(336) 878-6530
Fax
(336) 878-6531
NPI assigned
Sep 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5020800 NC Primary
Women's Health Nurse Practitioner 363LW0102X 5020800 NC

Addresses

Primary practice location

624 Quaker LN Ste 100E
High Point, NC 27262-3832

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 878-6530

Other practice location 1

4109 Wake Forest Rd # 220
Raleigh, NC 27609-2510
Phone (984) 370-2350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241108001186 NC Practitioner - Nurse Practitioner 4789118050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluhaven Health PAGroup PAC ID 9830622935, 2 clinicians

Practice addresses (Care Compare)

4109 Wake Forest Rd
Suite 220
Raleigh, NC 27609-2510
Phone (984) 370-2350

624 Quaker LN
Suite 200D
High Point, NC 27262-3800
Phone (336) 878-6101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5020800NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bluhaven Health PA Nurse Practitioner CurrentSince Sep 16, 2024 Accepting new patients
Wake Forest University Health Sciences CurrentSince Jun 15, 2025 Accepting new patients

Locations

624 Quaker Ln
Ste 200D
High Point, NC 27262
Phone (336) 878-6101

624 Quaker Ln
Ste 100E
High Point, NC 27262
Phone (336) 878-6042

4109 Wake Forest Rd
Ste 220
Raleigh, NC 27609
Phone (984) 370-2350

4109 Wake Forest Rd
#220
Raleigh, NC 27609
Phone (984) 370-2350

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: kbarron3016176@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1366277667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-878-6530",
            "fax_number": "336-878-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 QUAKER LN STE 100E",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623832",
            "telephone_number": "336-878-6530",
            "fax_number": "336-878-6531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4109 Wake Forest Rd # 220",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276092510",
            "country_code": "US",
            "telephone_number": "984-370-2350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRON",
        "first_name": "KIMBERLY",
        "middle_name": "ELLIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5020800",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5020800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.