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Active NPI 1427241421 Individual Practitioner Female Practitioner

Kimberly D. Mathis , NP

Nurse Practitioner • Manchester, TN

Professional Overview & Biography Verified Profile Summary

Kimberly Mathis, NP is a registered healthcare professional specializing in Nurse Practitioner in Manchester, TN. Practice services are available at 1600 MCARTHUR STREET under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, testing for presence of drug, read by direct observation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1600 Mcarthur Street

Manchester, TN 37355

Telephone 9317237950
Fax 9317237815
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Manchester, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Manchester, TN (2343 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.3% 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 (2021)
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
162 105 $190.00 $103.96

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TN 5806

(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 TN APN0000005806

(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
1516755 (TN)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Alana Moore , NP

Nurse Practitioner - Family

NPI 1427548155

Nurse Practitioner

Dr. James Roth , MD

Anesthesiology - Pain Medicine

NPI 1437105608

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 28, 2019

Registered at 1600 MCARTHUR STREET, MANCHESTER, TN 37355 (Tel: 9317237950)

📍
Updated Business Mailing Address February 28, 2019

Registered at 1600 MCARTHUR STREET, MANCHESTER, TN 37355 (Tel: 9317237950)

NPI Profile Active January 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2016

Registered at 315 N WASHINGTON AVE, STE. 190, COOKEVILLE, TN 385012603 (Tel: 9315208104)

📍
Updated Business Mailing Address January 12, 2016

Registered at PO BOX 681789, FRANKLIN, TN 370681789

👤
Provider Name / Credentials Updated January 12, 2016

Recorded as KIMBERLY MATHIS, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2016

Nurse Practitioner (License #APN0000005806 in TN)

🟢
Initial NPI Registration & Enumeration August 22, 2007

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: 1427241421
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2007
Last Update: February 28, 2019
Sole Proprietor: No

Mailing Address

1600 Mcarthur Street

Manchester, TN 37355

Phone: 9317237950

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.