Kimberly Gilliard Broadwell, ACNP
NPI 1255928479ActiveIndividual· Nurse Practitioner, Acute Care· Raleigh, NC
Nurse Practitioner, Acute Care (ACNP) with North Carolina Mg LLC, practicing in Raleigh, North Carolina. Medicare paid $5,832 for services to 51 patients in 2024. Lists Rex Hospital as a hospital affiliation.
Overview
| NPI | 1255928479 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ACNP |
| Sole proprietor | No |
| NPI issued | Dec 22, 2020 |
| Last updated in NPPES | May 3, 2021 |
| Certified by provider | May 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 5013905 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 51 |
|---|---|
| Services billed | 66 across 7 procedure codes |
| Paid by Medicare | $5,832 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- North Carolina Mg LLCRaleigh, NC · 751 clinicians
Hospital affiliation
- Rex HospitalRaleigh, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Acute Care providers in Raleigh
- 1407364607
- 1629433644
- 1154216661
- 1841882065
- 1285604132
- 1750154985
- 1659151454
- 1073920393
- 1487526273
- 1205425410
- 1174516660
- 1164297099
All Nurse Practitioner, Acute Care providers in North Carolina →