Active NPI 1730296591 Individual Practitioner Female Practitioner

Kimberly L Hertlein , ANP

Nurse Practitioner • Paris, AR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimberly Hertlein, ANP is a certified Nurse Practitioner practicing in Paris, AR. With approximately 22 years of clinical experience since completing medical education in 2004, Kimberly Hertlein delivers high-quality medical care to the local community at 303 S 5TH ST.

Kimberly Hertlein maintains professional affiliations with Fands Physical Therapy, Inc, Mercy Hospital Paris, Mercy Clinic Fort Smith Communities and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital inpatient care per day, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

303 S 5th St

Paris, AR 728554501

Telephone 4799632132

Fax 4799632046

Associated Practice Facility / Clinic

🏢 Cooper Clinic, Pa Facility NPI 1790706497

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Paris, AR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs Matches City Avg

City Avg: 22.0 Yrs

State Avg: 11.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Paris, AR (702 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hertlein (22 Years) 22 Yrs

Paris Specialty Average (22.0 Years) 22.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	38	$118.00	$71.39
99221 Initial hospital inpatient care per day, typically 30 minutes	39	35	$184.66	$75.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$177.00	$101.08
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	18	18	$104.89	$30.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	13	$102.00	$30.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	48	41	$172.80	$79.30
99213 Established patient office or other outpatient visit, typically 15 minutes	44	18	$118.00	$72.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	19	$177.00	$102.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	13	$81.00	$30.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	62	51	$172.80	$81.83
99213 Established patient office or other outpatient visit, typically 15 minutes	31	27	$118.00	$59.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	17	$81.00	$31.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90792 Psychiatric diagnostic evaluation with medical services	36	35	$405.00	$116.52
99221 Initial hospital inpatient care per day, typically 30 minutes	30	29	$172.80	$80.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	27	$108.24	$58.35
99213 Established patient office or other outpatient visit, typically 15 minutes	24	16	$118.00	$58.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$80.33	$31.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	780	342	$118.00	$57.18
36415 Insertion of needle into vein for collection of blood sample	553	275	$9.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	95	$177.00	$84.34
81003 Automated urinalysis test	54	45	$13.00	$2.71
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	53	34	$90.00	$35.58
87804 Detection test by immunoassay with direct visual observation for influenza virus	44	21	$49.00	$16.22
80053 Blood test, comprehensive group of blood chemicals	44	44	$77.00	$12.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	42	$297.66	$155.63
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	42	32	$138.00	$55.22
90792 Psychiatric diagnostic evaluation with medical services	37	37	$395.68	$112.32
81002 Urinalysis, manual test	37	29	$14.00	$3.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	27	$107.15	$56.48
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	32	30	$31.00	$9.40
83721 Ldl cholesterol level	32	32	$30.00	$11.54
83718 Hdl cholesterol level	20	20	$29.00	$9.92
84478 Triglycerides level	20	20	$32.00	$6.95
84443 Blood test, thyroid stimulating hormone (TSH)	15	15	$81.00	$20.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$60.00	$30.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	253	195	$118.09	$56.93
36415 Insertion of needle into vein for collection of blood sample	155	131	$9.08	$2.94
81003 Automated urinalysis test	84	66	$15.46	$3.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	55	$283.80	$158.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	58	47	$60.00	$31.42
G0008 Administration of influenza virus vaccine	52	52	$46.00	$22.70
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	52	52	$35.00	$17.48
87804 Detection test by immunoassay with direct visual observation for influenza virus	40	19	$46.30	$12.11
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	30	26	$87.00	$34.12
90791 Psychiatric diagnostic evaluation	19	17	$230.40	$104.02
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	17	17	$36.94	$21.38
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$47.40	$12.11

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AR A01805

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

157386758 (AR)

Commercial Insurance / Payer ID Rr Medicare

080017768

Hospital & Practice Group Affiliations

Mercy Clinic Fort Smith Communities

3501 We Knight Dr, Fort Smith, AR 729036254

Phone: 4797096700

Mercy Hospital Paris

500 E Academy, Paris, AR 728554040

Phone: 4799636101

Mercy Clinic Fort Smith Communities

1000 S Waldron Rd, Fort Smith, AR 729032550

Phone: 4792219922

Fands Physical Therapy, Inc

1414 Hwy 71 N, Alma, AR 729214723

Phone: 4796320321

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Wayne Enns , MD

Family Medicine

NPI 1144255571

Doctor of Medicine (M.D.)

Dr. Jason Richey , MD

Family Medicine

NPI 1427070606

Doctor of Medicine (M.D.)

Jessica Russell , APRN

Nurse Practitioner - Family

NPI 1548831696

Advanced Practice Registered Nurse

Sandra Maddox , APN

Nurse Practitioner - Family

NPI 1598456980

Advanced Practice Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 28, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 28, 2015

Registered at 303 S 5TH ST, PARIS, AR 728554501 (Tel: 4799632132)

📍

Updated Business Mailing Address August 28, 2015

Registered at PO BOX 3528, FORT SMITH, AR 729133528 (Tel: 4792742000)

👤

Provider Name / Credentials Updated August 28, 2015

Recorded as KIMBERLY HERTLEIN, ANP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2015

Nurse Practitioner (License #A01805 in AR)

🟢

Initial NPI Registration & Enumeration August 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730296591

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 25, 2006

Last Update: August 28, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3528

Fort Smith, AR 729133528

Phone: 4792742000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.