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

MS. Kimberly Ann Talley, APRN

Individual provider Family Nurse Practitioner · NPI 1376277665

MS. Kimberly Ann Talley, APRN is a Nurse Practitioner in Roseburg, Oregon. Qualified in 2021, 5 years ago. Practices with Waterfall Clinic Incorporated, a 17-clinician group. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2022
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

2589 NW Edenbower Blvd
Roseburg, OR 97471-6224
Phone: (541) 529-9190
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 905251 (MS)

Record details

NPI number1376277665
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 12, 2022
Last updated in NPPESJuly 15, 2022
Certification dateJuly 15, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Waterfall Clinic Incorporated — 17 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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