Kimberly Marie Allen, APRN- FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2017032207 Issued in MO

Practice address

1607 E US Highway 136
Albany, MO 64402-8223

Phone

(660) 726-3333

Fax

(660) 726-3232

NPI assigned

Sep 15, 2017

Last updated

Dec 10, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MO

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

Northwest Medical Center Association IncGroup PAC ID 5496641896, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mosaic Life Care Home Health Home health agency, Saint Joseph, MO, CCN 267064
• Mosaic Medical Center Albany Hospital, Albany, MO, CCN 261328
• Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006

Merit-based Incentive Payment System (MIPS)

Final score

75.47 of 100Reported as group

Quality

81.87

Promoting interoperability

99

Improvement activities

40

Cost

30.23

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Pine View Manor, Inc.

  • Skilled Nursing Facility
  • Stanberry, MO
  • NPI 1578565578

  Corporate Officer

  CMS ownership

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.

• Northwest Medical Center Association Inc

  dba Mosaic Medical Center Albany

  • Medicare Defined Swing Bed Hospital Unit
  • Albany, MO
  • NPI 1124164322
  Medicare reassignment Care Compare group NPD
• Northwest Medical Center Association, Inc

  dba Mosaic Family Care Stanberry

  • Rural Health Clinic/Center
  • Stanberry, MO
  • NPI 1750457149
  NPD
• Crain Medical Clinic

  • Family Medicine Physician
  • Mount Ayr, IA
  • NPI 1467638072
  NPD (past)

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

• Heartland Regional Medical Center

  dba Mosaic Life Care Home Health

  • Home Health Agency
  • Saint Joseph, MO
  • NPI 1003916198
  Care Compare affiliation
• Heartland Regional Medical Center

  dba Mosaic Life Care at St Joseph Medical Center

  • General Acute Care Hospital
  • Saint Joseph, MO
  • NPI 1437259694
  Care Compare affiliation
• Northwest Medical Center Association Inc

  dba Mosaic Medical Center Albany

  • Critical Access Hospital
  • Albany, MO
  • NPI 1306893268
  Care Compare affiliation

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1750800272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 E US HIGHWAY 136",
            "city": "ALBANY",
            "state": "MO",
            "postal_code": "644028223",
            "telephone_number": "660-726-3333",
            "fax_number": "660-726-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 E US HIGHWAY 136",
            "city": "ALBANY",
            "state": "MO",
            "postal_code": "644028223",
            "telephone_number": "660-726-3333",
            "fax_number": "660-726-3232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 E Main St",
            "address_purpose": "LOCATION",
            "city": "Stanberry",
            "state": "MO",
            "postal_code": "644891358",
            "country_code": "US",
            "telephone_number": "660-783-2192",
            "fax_number": "660-783-2616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 E Lincoln St",
            "address_purpose": "LOCATION",
            "city": "New Hampton",
            "state": "MO",
            "postal_code": "644710222",
            "country_code": "US",
            "telephone_number": "660-439-2060",
            "fax_number": "660-439-2061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Grant City",
            "state": "MO",
            "postal_code": "644568141",
            "country_code": "US",
            "telephone_number": "660-564-3322",
            "fax_number": "660-564-3324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "APRN- FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017032207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acres of Hope, LLC
• Albany Behavioral Health Services
• Albany Behavioral Health Services L.L.C
• Beacon Way
• Beacon Way 111
• Beacon Way II LLC
• Tiffany Bottcher
• Robin Lynn Bourland, LCSW

• Family Nurse Practitioner in Albany, MO
• Providers in Albany, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.