Individual provider Active NPI

Kimberly Ann Corona, CRNP

  • Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1720503287
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-130051 Issued in AL
Practice address
470 Taylor Rd Ste 300
Montgomery, AL 36117-7130
Phone
(334) 281-1191
Fax
(334) 281-1940
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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 1-130051 AL Primary

Addresses

Primary practice location

470 Taylor Rd Ste 300
Montgomery, AL 36117-7130

Mailing address

470 Taylor Rd Ste 300
Montgomery, AL 36117-7130
Phone (334) 281-1191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20200115001462 AL Practitioner - Nurse Practitioner 5395170633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians
Montgomery Women'S Health Associates P.C.Group PAC ID 9032132329, 6 clinicians

Practice addresses (Care Compare)

1722 Pine St
Suite 503
Montgomery, AL 36106-1160
Phone (334) 293-8736

470 Taylor Rd
Suite 300
Montgomery, AL 36117-7130
Phone (334) 281-1191

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
58.42 of 100Reported as individual
Quality
49.37
Improvement activities
40
Cost
54.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital & Clinic, Inc. CurrentSince Nov 12, 2019 Accepting new patients
Jackson Hospital and Clinic, Inc. Nurse Practitioner Current Accepting new patients
Jackson Hospital and Clinic Inc. CurrentSince Nov 12, 2019 Accepting new patients
Montgomery Women'S Health Associates P.C. CurrentSince May 1, 2025 Accepting new patients

Locations

321 Greenville Byp
Ste 2
Greenville, AL 36037

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

470 Taylor Rd
Ste 300
Montgomery, AL 36117
Phone (334) 281-1119

1722 Pine St
Ste 502
Montgomery, AL 36106
Phone (334) 293-8123

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

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 and National Provider Directory roles.

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": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1720503287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 TAYLOR RD STE 300",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177130",
            "telephone_number": "334-281-1191",
            "fax_number": "334-281-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 TAYLOR RD STE 300",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177130",
            "telephone_number": "334-281-1191",
            "fax_number": "334-281-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONA",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-130051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.