Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly R Neely, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1346607587

Kimberly R Neely, AGACNP-BC is a Nurse Practitioner in Grand Forks, North Dakota. Qualified in 2016, 10 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in North Dakota and West Virginia.

Years since qualifying
10
Licensed in
ND, WV
In the registry since
2016
Specialties on file
4

Practice location Partly verified

Some contact details are missing from the federal record.

Altru Cancer Center 960 S Columbia Rd
Grand Forks, ND 58201-4036
Phone: (701) 780-5000
Fax: (304) 781-5139
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 85 Donohoe Dr, Huntington, WV 25705-8887 — (304) 399-3310

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 201611 (ND)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 201611 (ND)
Diabetes Educator Registered Nurse Taxonomy 163WD0400X · Licence 83344 (WV)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 201611 (ND)

Record details

NPI number1346607587
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedJanuary 19, 2016
Last updated in NPPESMay 16, 2025
Certification dateMay 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grand Forks