Active NPI 1447676002 Individual Practitioner Female Practitioner

Jacqueline Kimball

Nurse Practitioner • Clearwater, FL

Professional Overview & Biography Verified Profile Summary

Jacqueline Kimball is a registered healthcare professional specializing in Nurse Practitioner in Clearwater, FL. Practice services are available at 2 N BELCHER RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2 N Belcher Rd

Clearwater, FL 337653201

Telephone 7274492224

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Clearwater, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.5 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

97 Specialists

Practicing in Clearwater, FL (8990 Statewide)

Telehealth Adoption Rate

5.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	30	$245.46	$107.24
36415 Insertion of needle into vein for collection of blood sample	30	27	$12.40	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$180.00	$75.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	133	54	$182.80	$77.51
36415 Insertion of needle into vein for collection of blood sample	126	54	$6.29	$2.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	26	$228.55	$101.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	167	80	$162.79	$77.50
36415 Insertion of needle into vein for collection of blood sample	115	73	$6.00	$3.00
G0444 Annual depression screening, 5 to 15 minutes	14	14	$0.79	$0.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	69	37	$145.00	$81.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	213	97	$145.00	$82.17
99335 Established patient assisted living visit, typically 25 minutes	24	19	$150.00	$85.20
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	12	12	$90.00	$54.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	159	86	$110.00	$62.05
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	68	49	$145.00	$82.38
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	50	24	$90.00	$54.00
36415 Insertion of needle into vein for collection of blood sample	29	21	$25.00	$2.94
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	13	12	$215.00	$122.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	193	96	$145.00	$81.97
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	40	28	$110.00	$62.05
99335 Established patient assisted living visit, typically 25 minutes	18	15	$150.00	$85.19
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	11	11	$215.00	$122.21

Medical Specialties & State Licenses

CMS Verified: 2021-07-29

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL 11003804

(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.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IL 209.011296

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Kera Connolly , DO

Family Medicine

NPI 1205149937

Doctor of Osteopathic Medicine (D.O.)

Virginia Johnson , APRN, FNP-C

Nurse Practitioner - Family

NPI 1285309104

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Courtnae Walford , PA-C

Physician Assistant

NPI 1598583684

Physician Assistant (Certified)

Dr. Anurag Kumbham , MD

Internal Medicine

NPI 1760552673

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location July 29, 2021

Registered at 2 N BELCHER RD, CLEARWATER, FL 337653201 (Tel: 7274492224)

📍

Updated Business Mailing Address July 29, 2021

Registered at 2 N BELCHER RD, CLEARWATER, FL 337653201 (Tel: 7274492224)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2021

Nurse Practitioner (License #11003804 in FL)

✅

NPI Profile Active March 06, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 06, 2014

Registered at 134 W 111TH ST, CHICAGO, IL 606284215 (Tel: 7739953008)

📍

Updated Business Mailing Address March 06, 2014

Registered at 134 W 111TH ST, CHICAGO, IL 606284215 (Tel: 7739953008)

👤

Provider Name / Credentials Updated March 06, 2014

Recorded as JACQUELINE KIMBALL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2014

Nurse Practitioner (License #209.011296 in IL)

🟢

Initial NPI Registration & Enumeration March 06, 2014

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: 1447676002

Entity Type:

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

Enumeration Date: March 06, 2014

Last Update: July 29, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2 N Belcher Rd

Clearwater, FL 337653201

Phone: 7274492224

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.