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Active NPI 1790154169 Individual Practitioner Female Practitioner

Kimberly Joy Basham , APRN

Nurse Practitioner • The Villages, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimberly Basham, APRN is a certified Nurse Practitioner practicing in The Villages, FL. With approximately 11 years of clinical experience since completing medical education in 2015, Kimberly Basham delivers high-quality medical care to the local community at 8877 SE 165TH MULBERRY LN.

Kimberly Basham maintains professional affiliations with Centerwell Senior Primary Care Vitality Inc, The Villages Health System Llc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

8877 Se 165th Mulberry Ln

The Villages, FL 321625887

Telephone 3526741750
Fax 3526748950
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in The Villages, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs Matches City Avg
City Avg: 11.0 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
35 Specialists

Practicing in The Villages, FL (8990 Statewide)

Telehealth Adoption Rate
8.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Basham (11 Years) 11 Yrs
The Villages Specialty Average (11.0 Years) 11.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
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
28 17 $242.89 $108.51
36415 Insertion of needle into vein for collection of blood sample
16 14 $17.25 $7.40
99213 Established patient office or other outpatient visit, typically 15 minutes
15 11 $169.60 $79.17

Medical Specialties & State Licenses

CMS Verified: 2025-08-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN9430779

(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 - Family

NUCC Taxonomy Code: 363LF0000X

State License IL 209013223

Definition to come...

Hospital & Practice Group Affiliations

The Villages Health System Llc

8877 Se 165th Mulberry Ln, The Villages, FL 321625887

Phone: 3526741750

Centerwell Senior Primary Care Vitality Inc

8877 Se 165th Mulberry Ln, The Villages, FL 321625887

Phone: 3526741750

Practice Associates & Co-Workers

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

23 Associated Practitioners
Dr. Glen Morgan , MD

Family Medicine

NPI 1013999374

Doctor of Medicine (M.D.)

Elexa Molinary Miller , APRN

Nurse Practitioner - Family

NPI 1043006810

Advanced Practice Registered Nurse

NPI 1235103441

Doctor of Medicine (M.D.)

Dr. Frances Radkey , MD

Internal Medicine

NPI 1306801196

Doctor of Medicine (M.D.)

NPI 1316406200

Doctor of Medicine (M.D.)

Dr. David Modders , PhD

Psychologist - Clinical

NPI 1346460862

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2025

Nurse Practitioner (License #209013223 in IL)

👤
Provider Name / Credentials Updated December 04, 2018

Recorded as KIMBERLY BASHAM, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2018

Nurse Practitioner (License #APRN9430779 in FL)

NPI Profile Active April 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2016

Registered at 8877 SE 165TH MULBERRY LN, THE VILLAGES, FL 321625887 (Tel: 3526741750)

📍
Updated Business Mailing Address April 26, 2016

Registered at 1020 LAKE SUMTER LNDG, THE VILLAGES, FL 321622699 (Tel: 3526748905)

👤
Provider Name / Credentials Updated April 26, 2016

Recorded as KIMBERLY BASHAM, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2016

Nurse Practitioner (License #ARNP9430779 in FL)

🟢
Initial NPI Registration & Enumeration September 16, 2015

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: 1790154169
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2015
Last Update: August 15, 2025
Sole Proprietor: No

Mailing Address

1020 Lake Sumter Lndg

The Villages, FL 321622699

Phone: 3526748905

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.