Individual provider Active NPI

Kimberly Ann Boring, FNP

  • Nurse Practitioner
  • Crossville, TN
National Provider Identifier
1649512013
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0017281 Issued in TN
Practice address
194 Cleveland St
Crossville, TN 38555-4853
Phone
(931) 484-9538
Fax
(931) 484-4831
NPI assigned
Mar 22, 2013
Last updated
Oct 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0017281 TN Primary

Addresses

Primary practice location

194 Cleveland St
Crossville, TN 38555-4853

Mailing address

194 Cleveland St
Crossville, TN 38555-4853
Phone (931) 484-9538

Other identifiers 1

IdentifierTypeStateIssuer
APN0000017281OtherLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20130503000196 TN Practitioner - Nurse Practitioner 5991942260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians' Associates, LLCGroup PAC ID 2365591765, 2 clinicians

Practice addresses (Care Compare)

1645 S Main St
Suite 101
Crossville, TN 38555-5998
Phone (931) 484-7531

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
42.22 of 100Reported as individual
Quality
39.25
Improvement activities
0
Cost
88.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crossville Family Medicine LLC Current Accepting new patients
Exac Care, PLLC PastSince Apr 27, 2013 Accepting new patients

Locations

1645 S Main St
Ste 101
Crossville, TN 38555
Phone (931) 372-7716

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1649512013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 CLEVELAND ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554853",
            "telephone_number": "931-484-9538",
            "fax_number": "931-484-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 CLEVELAND ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554853",
            "telephone_number": "931-484-9538",
            "fax_number": "931-484-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORING",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0017281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "APN0000017281",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.