NPIMap

Individual provider Active NPI

Karen A Kimball

  • Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1487848438
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
30310 Issued in SC
Practice address
114 Gateway Corporate Blvd Ste 220
Columbia, SC 29203-9785
Phone
(803) 865-4928
NPI assigned
Sep 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP009522 PA
Neuroscience Registered Nurse 163WN0800X RN293476L PA
Nurse Practitioner 363L00000X 30310 SC Primary

Addresses

Primary practice location

114 Gateway Corporate Blvd Ste 220
Columbia, SC 29203-9785

Mailing address

PO Box 23321
New York, NY 10087-3321
Phone (803) 865-4928

Other practice location 1

420 S 5th Ave
West Reading, PA 19611-2143
Phone (484) 628-5455

Other practice location 2

601 Spruce St
West Reading, PA 19611-1443
Phone (610) 375-4567

Other practice location 3

301 S 7th Ave Ste 210
West Reading, PA 19611-1450
Phone (484) 628-4656

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071108000012 PA Practitioner - Nurse Practitioner 0749377729 Reassigns benefits to 2 organizations
I20250930004409 SC Practitioner - Nurse Practitioner 0749377729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

114 Gateway Corp Blvd
Suite 220
Columbia, SC 29203-9785
Phone (843) 792-1414

Hospital & facility affiliations

  • Musc Health Columbia Medical Center Downtown Hospital, Columbia, SC, CCN 420026
  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

Merit-based Incentive Payment System (MIPS)

Final score
88.1 of 100Reported as group
Quality
77.19
Promoting interoperability
98
Improvement activities
40
Cost
79.03

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN293476LPAMDNeuroscience Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Hospital CurrentSince Dec 5, 2023 Accepting new patients
Musc Community Physicians CurrentSince Dec 15, 2025 Accepting new patients
Tower Health Medical Group CurrentSince Aug 1, 2010 Accepting new patients
Lexington Health Inc CurrentSince Sep 1, 2025 Accepting new patients
Musc Community Physicians CurrentSince Dec 15, 2025 Accepting new patients
Lexington Health Inc CurrentSince Sep 1, 2025 Accepting new patients
Reading Hospital Current Accepting new patients
Tower Health Medical Group Current Accepting new patients
Reading Hospital CurrentSince Dec 5, 2023 Accepting new patients
Lexington Health Inc Current Accepting new patients
Tower Health Medical Group CurrentSince Aug 1, 2010 Accepting new patients

Locations

601 Spruce St
West Reading, PA 19611
Phone (484) 628-8900

301 S 7th Ave
Ste 3020
West Reading, PA 19611
Phone (484) 628-4656

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

301 S 7th Ave
Ste 210
West Reading, PA 19611
Phone (484) 628-4656

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

2603 Keiser Blvd
Ste 104
Wyomissing, PA 19610
Phone (484) 628-3150

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

Organizations & group practices 11

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

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1487848438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23321",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873321",
            "telephone_number": "803-865-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 GATEWAY CORPORATE BLVD STE 220",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039785",
            "telephone_number": "803-865-4928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 S 5th Ave",
            "address_purpose": "LOCATION",
            "city": "West Reading",
            "state": "PA",
            "postal_code": "196112143",
            "country_code": "US",
            "telephone_number": "484-628-5455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Spruce St",
            "address_purpose": "LOCATION",
            "city": "West Reading",
            "state": "PA",
            "postal_code": "196111443",
            "country_code": "US",
            "telephone_number": "610-375-4567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 S 7th Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "West Reading",
            "state": "PA",
            "postal_code": "196111450",
            "country_code": "US",
            "telephone_number": "484-628-4656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "KAREN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP009522",
            "primary": false
        },
        {
            "code": "163WN0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neuroscience",
            "state": "PA",
            "license": "RN293476L",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "30310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "114 Gateway Corporate Blvd Ste 220",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292039785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.