Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Rae Horner, AG-ACNPBC

Individual provider Acute Care Nurse Practitioner · NPI 1083086433

Kimberly Rae Horner, AG-ACNPBC is a Nurse Practitioner in Cookeville, Tennessee. Qualified in 2015, 11 years ago. Practices with Centennial Heart LLC, a 121-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
11
Licensed in
TN
In the registry since
2015
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Practice location Address checks out

228 W 4th St Ste 200
Cookeville, TN 38501-2489
Phone: (931) 372-0405
Fax: (931) 372-0463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Medical Center Blvd, Cookeville, TN 38501-4294 — (931) 783-5582
  • 2400 Patterson St Ste 502, Nashville, TN 37203-6511 — (615) 515-1900

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 20610 (TN)

Record details

NPI number1083086433
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNPBC
Sole proprietorNo
NPI enumeratedOctober 26, 2015
Last updated in NPPESJanuary 4, 2022
Certification dateMay 21, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Centennial Heart Llc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cookeville