William Dolphus Kimbrell IV, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11007751 Issued in FL

Practice address

3298 Summit Blvd Ste 40
Pensacola, FL 32503-4350

Phone

(850) 332-3379

Fax

(850) 332-3287

NPI assigned

Jun 24, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1831715804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3298 SUMMIT BLVD STE 40",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034350",
            "telephone_number": "850-332-3379",
            "fax_number": "850-332-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3298 SUMMIT BLVD STE 40",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034350",
            "telephone_number": "850-332-3379",
            "fax_number": "850-332-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBRELL",
        "first_name": "WILLIAM",
        "middle_name": "DOLPHUS",
        "name_suffix": "IV",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-24",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE REGISTERED NURSE",
            "identifier": "APRN11007751",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Jongsoo Kim, MD
• Esther Hyojin Kim, RN
• Eudeum Lee Kim, APRN
• Tracey Kim, DO
• Karin Kimberl, LMHC
• Jennifer A Kimbro, APRN
• Stephen H Kimura, MD
• Makenzie Nicole Kincaid
• Robert L Kincaid, M.D.
• Nathan Clair Kindig, PA-C

• Family Nurse Practitioner in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.