Individual provider Active NPI

Kimberly A Paden, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Kingman, AZ
National Provider Identifier
1902406499
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
249342 Issued in AZ
Practice address
2226 Hualapai Mountain Rd
Kingman, AZ 86401-8374
Phone
(928) 681-8530
NPI assigned
Oct 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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 249342 AZ Primary

Addresses

Primary practice location

2226 Hualapai Mountain Rd
Kingman, AZ 86401-8374

Mailing address

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 757-2101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20201203002701 AZ Practitioner - Nurse Practitioner 6002226578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians

Practice addresses (Care Compare)

1739 E Beverly Ave
Suite 118
Kingman, AZ 86409-3593
Phone (928) 757-0613

Hospital & facility affiliations

  • Kingman Regional Medical Center Home Health Home health agency, Kingman, AZ, CCN 037050
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Merit-based Incentive Payment System (MIPS)

Final score
84.85 of 100Reported as group
Quality
84.49
Promoting interoperability
83
Improvement activities
40
Cost
79.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249342AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc CurrentSince Mar 17, 2022 Accepting new patients
Kingman Healthcare, Inc CurrentSince Mar 17, 2022 Accepting new patients
Kingman Healthcare, Inc CurrentSince Mar 12, 2024 Accepting new patients
Mohave Primary Care PastSince Aug 22, 2020 Accepting new patients
Kingman Healthcare, Inc Family PastSince Mar 12, 2024 Accepting new patients

Locations

4995 US Highway 68
Ste 1
Golden Valley, AZ 86413
Phone (928) 681-8500

2226 Hualapai Mountain Rd
Kingman, AZ 86401
Phone (928) 681-8530

2226 Hualapai Mountain Rd
Ste 101
Kingman, AZ 86401
Phone (928) 681-8530

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

1739 E Beverly Ave
Ste 118
Kingman, AZ 86409
Phone (928) 681-5800

3801 Santa Rosa Dr
Ste 400
Kingman, AZ 86401
Phone (928) 681-8530

Interoperability endpoints

  • Direct secure messaging: brown.kimberly@direct.azkrmc.md
  • Direct secure messaging: brown.kimberly@st.direct.azkrmc.md
  • Direct secure messaging: paden.kimberly@direct.azkrmc.md

Organizations & group practices 5

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 2

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": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1902406499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3269 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093619",
            "telephone_number": "928-757-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 HUALAPAI MOUNTAIN RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864018374",
            "telephone_number": "928-681-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADEN",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "249342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.