Kimberly C Boackle, CRNP in Birmingham, AL - Medicare Nurse Practitioner

Kimberly C Boackle, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Birmingham, Alabama. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cooper Green Mercy Health Services Authority An Affiliate Of Uab and her current practice location is 1509 6th Ave S, Birmingham, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 930-3204.

Kimberly C Boackle is licensed to practice in Alabama (license number 1-072947) 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 1174924880.

Contact Information

	Kimberly C Boackle, CRNP
	1509 6th Ave S, Birmingham, AL 35233-1601
	(205) 930-3204
	(205) 930-3433

Map and Direction

Provider's Profile

Full Name	Kimberly C Boackle
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	1509 6th Ave S, Birmingham, Alabama
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:

Kimberly C Boackle graduated from nursing school in 2014

NPI Data:

NPI Number: 1174924880
Provider Enumeration Date: 09/12/2014
Last Update Date: 06/26/2025

Medicare PECOS Information:

PECOS PAC ID: 1456673508
Enrollment ID: I20141201001650

Medical Identifiers

Medical identifiers for Kimberly C Boackle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174924880	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-072947 (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cooper Green Mercy Health Services Authority An Affiliate Of Uab	0840629473	58

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. Kimberly C Boackle allows following entities to bill medicare on her behalf.

Entity Name	Cooper Green Mercy Health Services Authority An Affiliate Of Uab
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366073108 PECOS PAC ID: 0840629473 Enrollment ID: O20200402003238

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. Kimberly C Boackle 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
Kimberly C Boackle, CRNP 2147 Riverchase Office Rd, Hoover, AL 35244-1836 Ph: (205) 421-2088	Kimberly C Boackle, CRNP 1509 6th Ave S, Birmingham, AL 35233-1601 Ph: (205) 930-3204

Reviews and Comments

Nurse Practitioner Nurses in Birmingham, AL

Mrs. April Hooper Weatherly, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-939-9175
Miss Leigh Anne Wenzel, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 Saint Vincents Dr, Suite500, Birmingham, AL 35205 Phone: 205-933-8334 Fax: 205-271-5681
Ms. Carly Rae Hawkins, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-638-9285 Fax: 205-975-1941
Ashlee Brooke Quick, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3729 Mary Taylor Rd, Birmingham, AL 35235 Phone: 205-856-4440 Fax: 205-856-4445
Anyet Belyeu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 11th Ave S, Birmingham, AL 35205 Phone: 205-930-7155 Fax: 205-930-7061
Amy Urban, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Lowder Bldg., Suite 618, Birmingham, AL 35233 Phone: 205-638-9918
Jessica Cha, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816

Kimberly C Boackle, CRNP - Medicare Nurse Practitioner in Birmingham, AL