Individual provider Active NPI

Kimberly Margarett Brumley, APRN

  • Family Nurse Practitioner
  • Whitley City, KY
National Provider Identifier
1720458771
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009469 Issued in KY
Practice address
65 Center Ave
Whitley City, KY 42653-4380
Phone
(606) 376-2224
Fax
(606) 376-2205
NPI assigned
Oct 2, 2015
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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 3009469 KY Primary

Addresses

Primary practice location

65 Center Ave
Whitley City, KY 42653-4380

Mailing address

65 Center Ave
PO Box 129
Whitley City, KY 42653-4380
Phone (606) 376-2224

Other identifiers 1

IdentifierTypeStateIssuer
3009469OtherKYNURSING LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbrumley49363@bhkydirect.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160223001555 KY Practitioner - Nurse Practitioner 8820393226 Reassigns benefits to 2 organizations

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
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

648 University Shopping Ctr
Richmond, KY 40475-2614
Phone (859) 623-0535

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC CurrentSince Nov 3, 2017 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 12, 2018 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Nov 3, 2017 Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

648 University Shopping Ctr
Richmond, KY 40475
Phone (859) 623-1950

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1720458771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CENTER AVE",
            "address_2": "PO BOX 129",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "426534380",
            "telephone_number": "606-376-2224",
            "fax_number": "606-376-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CENTER AVE",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "426534380",
            "telephone_number": "606-376-2224",
            "fax_number": "606-376-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMLEY",
        "first_name": "KIMBERLY",
        "middle_name": "MARGARETT",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "3009469",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbrumley49363@bhkydirect.com",
            "affiliation": "N",
            "address_1": "95 Bryan Blvd Ste 201",
            "city": "Corbin",
            "state": "KY",
            "country_code": "US",
            "postal_code": "407012788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whitley City, KY

Sources for this page

Verify at the official NPI Registry.