Olivia Kimble, FNP in Espanola, NM - Medicare Nurse Practitioner

Olivia Kimble, FNP is a medicare enrolled "Nurse Practitioner - Family" in Espanola, New Mexico. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St. Vincent Hospital, Presbyterian Healthcare Services and her current practice location is 1010 Spruce St, Espanola, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 367-0340.

Olivia Kimble is licensed to practice in Hawaii (license number APRN-4547) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356836647.

Contact Information

	Olivia Kimble, FNP
	1010 Spruce St, Espanola, NM 87532-2724
	(505) 367-0340
	Not Available

Map and Direction

Provider's Profile

Full Name	Olivia Kimble
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1010 Spruce St, Espanola, New Mexico
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Olivia Kimble graduated from nursing school in 2018

NPI Data:

NPI Number: 1356836647
Provider Enumeration Date: 06/28/2018
Last Update Date: 09/04/2024

Medicare PECOS Information:

PECOS PAC ID: 3173867272
Enrollment ID: I20181130000085

Medical Identifiers

Medical identifiers for Olivia Kimble such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356836647	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	53443 (New Mexico)	Secondary
363LF0000X	Nurse Practitioner - Family	F06180294 (New Mexico)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN-4547 (Hawaii)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Presbyterian Espanola Hospital	Espanola, NM	Hospital
Christus St Vincent Regional Medical Center	Santa fe, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St. Vincent Hospital	6608775135	271
Presbyterian Healthcare Services	9234041708	1119

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Olivia Kimble allows following entities to bill medicare on her behalf.

Entity Name	Presbyterian Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603

Entity Name	St. Vincent Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578587150 PECOS PAC ID: 6608775135 Enrollment ID: O20040105000372

Entity Name	Buena Salud Family Medicine, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336464429 PECOS PAC ID: 5395877161 Enrollment ID: O20100714000094

Entity Name	Drynachan Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891044657 PECOS PAC ID: 2264718824 Enrollment ID: O20180205001767

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Olivia Kimble is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Olivia Kimble, FNP Po Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770	Olivia Kimble, FNP 1010 Spruce St, Espanola, NM 87532-2724 Ph: (505) 367-0340

Reviews and Comments

Nurse Practitioner Nurses in Espanola, NM

Bailey Pearson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-367-0340
Mr. Stephen Lynn Mason, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 N Paseo De Onate, Espanola, NM 87532 Phone: 505-747-0081
Dr. Keith Bryan Haynie, DNP, RN, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 S Coronado Ave, Espanola, NM 87532 Phone: 860-788-6404 Fax: 860-398-6441
Kimberly Allen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-753-7111
Jonathan C Peachey, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-753-7111 Fax: 505-753-4438
Leticia A Luketich Martinez, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2010 Industrial Park Rd, Espanola, NM 87532 Phone: 505-753-7218 Fax: 505-747-7396
Tiffin Marie Zellers, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1308 N Orchard, Espanola, NM 87532 Phone: 505-927-0157 Fax: 855-928-4040

Olivia Kimble, FNP - Medicare Nurse Practitioner in Espanola, NM