Carla Rebecca Kimmel, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5010375 Issued in NC

Practice address

16825 Rosman Hwy
Lake Toxaway, NC 28747-9593

Phone

(828) 862-6900

Fax

(828) 862-6904

NPI assigned

Feb 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sisters of Mercy Urgent Care IncGroup PAC ID 5496709305, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carla.kimmel.1@29997.direct.athenahealth.com
• Direct secure messaging: carlakimmelnp@direct.msj.org

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.

• Sisters of Mercy Urgent Care Inc

  • Urgent Care Clinic/Center
  • Asheville, NC
  • NPI 1437175700

  NC

  Medicare reassignment Care Compare group NPD
• Sisters of Mercy Urgent Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Boone, NC
  • NPI 1366336299
  Care Compare group NPD
• Sisters of Mercy Urgent Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Burnsville, NC
  • NPI 1093294274
  Care Compare group
• Sisters of Mercy Urgent Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Waynesville, NC
  • NPI 1144868118
  Care Compare group
• Sisters of Mercy Urgent Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Asheville, NC
  • NPI 1194204370
  Care Compare group
• Sisters of Mercy Urgent Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Asheville, NC
  • NPI 1457602120
  Care Compare group
• Sisters of Mercy Urgent Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Columbus, NC
  • NPI 1578125860
  Care Compare group
• Sisters of Mercy Urgent Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Weaverville, NC
  • NPI 1669724233
  Care Compare group
• Sisters of Mercy Urgent Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Asheville, NC
  • NPI 1881946408
  Care Compare group

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1689640336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602373",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602373",
            "telephone_number": "828-213-1500",
            "fax_number": "828-651-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16825 ROSMAN HWY",
            "city": "LAKE TOXAWAY",
            "state": "NC",
            "postal_code": "287479593",
            "telephone_number": "828-862-6900",
            "fax_number": "828-862-6904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "377 Gallimore Rd",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287128874",
            "country_code": "US",
            "telephone_number": "828-884-9030",
            "fax_number": "828-884-3563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "187 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287124189",
            "country_code": "US",
            "telephone_number": "828-884-9362",
            "fax_number": "828-884-3851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "CARLA",
        "middle_name": "REBECCA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010375",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0823",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carlakimmelnp@Direct.msj.org",
            "affiliation": "N",
            "address_1": "377 Gallimore Rd",
            "city": "Brevard",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287128874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vicky Leigh Cooke-Thornton, ANP-C
• James Todd Green
• Jeffrey Scott Jackson
• Sarah James, MA, LCMHC, LCAS
• Jeffrey Scott Jackson
• Leah Subalusky Madamba, MS, NCC, LCMHC
• Justin Messinger, LCMHC
• William Noran, MD
• Mary Shalene Pierce, MSW, LCSW
• Julia 8288855920 Ruff

• All providers in Lake Toxaway, NC
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.