Individual provider Active NPI

Kimberly Layne Nall, ARNP

  • Family Nurse Practitioner
  • Middleburg, FL
National Provider Identifier
1588028443
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9267819 Issued in FL
Practice address
3099 Longleaf Ranch Cir
Middleburg, FL 32068-6360
Phone
(904) 626-9120
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9267819 FL Primary

Addresses

Primary practice location

3099 Longleaf Ranch Cir
Middleburg, FL 32068-6360

Mailing address

3099 Longleaf Ranch Cir
Middleburg, FL 32068-6360
Phone (904) 626-9120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171213002310 FL Practitioner - Nurse Practitioner 3870851249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pointe Medical Services IncGroup PAC ID 3274432125, 4 clinicians

Practice addresses (Care Compare)

1996 Kingsley Ave
Orange Park, FL 32073-4442
Phone (904) 276-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
FM Medical Inc CurrentSince Jun 23, 2026 Accepting new patients
Pointe Medical Services Inc CurrentSince Feb 2, 2019 Accepting new patients

Locations

1996 Kingsley Ave
Orange Park, FL 32073
Phone (904) 272-9679

1996 Kingsley Ave
#A
Orange Park, FL 32073

3560 A1A S
Ste 1
St Augustine, FL 32080
Phone (904) 529-0141

165 Southpark Blvd
Ste C
St Augustine, FL 32086
Phone (904) 276-0306

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kimberly.nall.1@20909.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20909/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kimberly.nall.1@24172.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1588028443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3099 LONGLEAF RANCH CIR",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320686360",
            "telephone_number": "904-626-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3099 LONGLEAF RANCH CIR",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320686360",
            "telephone_number": "904-626-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALL",
        "first_name": "KIMBERLY",
        "middle_name": "LAYNE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9267819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, FL

Sources for this page

Verify at the official NPI Registry.