Shirley Kimble
NPI 1306673553ActiveIndividual· Nurse Practitioner, Primary Care· Doddsville, MS
Nurse Practitioner, Primary Care in Doddsville, Mississippi, licensed in MS, with an NPI issued in September 2024. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1306673553 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 19, 2024 |
| Last updated in NPPES | Sep 19, 2024 |
| Certified by provider | Sep 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 906327 | MS |
| Nurse Practitioner, Adult Health | 363LA2200X | 906327 | MS |
| Nurse Practitioner, Gerontology | 363LG0600X | 906327 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MS) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records