Kimberly A. Gowin, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3011417 Issued in KY

Practice address

67 Kingswood Dr
Campbellsville, KY 42718-9647

Phone

(270) 789-5750

Fax

(270) 789-5751

NPI assigned

Nov 13, 2017

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 names 1

• Kimberly A. Vertrees Former name

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Taylor Regional Medical Group LLCGroup PAC ID 4880616622, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Taylor Regional Hospital Hospital, Campbellsville, KY, CCN 180087

Merit-based Incentive Payment System (MIPS)

Final score

73.96 of 100Reported as group

Quality

62.41

Promoting interoperability

69

Improvement activities

40

Cost

71.3

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Taylor Regional Medical Group,LLC

  • Obstetrics & Gynecology Physician
  • Campbellsville, KY
  • NPI 1174697601

  KY

  Medicare reassignment Care Compare group NPD
• Taylor Regional Medical Group LLC

  • Rural Health Clinic/Center
  • Campbellsville, KY
  • NPI 1073370185
  Care Compare group NPD
• Taylor Regional Medical Group, LLC

  • Rural Health Clinic/Center
  • Columbia, KY
  • NPI 1376374215
  Care Compare group
• Taylor Regional Medical Group, LLC

  • Family Medicine Physician
  • Campbellsville, KY
  • NPI 1699030031
  Care Compare group
• Taylor Regional Medical Group LLC

  • Pulmonary Disease Physician
  • Campbellsville, KY
  • NPI 1174768717

  Nurse Practitioner

  NPD
• Taylor Regional Medical Group

  • Diagnostic Radiology Physician
  • Campbellsville, KY
  • NPI 1306850052
  NPD (past)

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

• Taylor County Hospital District Health Facilities Corporation

  • General Acute Care Hospital
  • Campbellsville, KY
  • NPI 1689761942

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1669985719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 KINGSWOOD DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189647",
            "telephone_number": "270-789-5750",
            "fax_number": "270-789-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 KINGSWOOD DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189647",
            "telephone_number": "270-789-5750",
            "fax_number": "270-789-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWIN",
        "first_name": "KIMBERLY",
        "middle_name": "A.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3011417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "VERTREES",
            "middle_name": "A.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Goff
• Briana Goldsmith
• David Goldsmith, PHARMD
• Nestor Ruben Gonzalez, MD
• Jacklyn Marie Goodson
• Grace and Wellness Behavioral Health Group, LLC
• Heather Brook Graham
• Sandra Kaye Grant
• Haylee Graves
• Lindsay Graves, MS, CCC-SLP

• All providers in Campbellsville, KY
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.