Kimberly A Bautista, RN - Medicare Nurse Practitioner in Boston, MA

Kimberly A Bautista, RN is a medicare enrolled "Nurse Practitioner - Family" in Boston, Massachusetts. Her current practice location is 801 Massachusetts Ave, Suite 6c, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 414-5951.

Kimberly A Bautista is licensed to practice in Massachusetts (license number RN2311024) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598355307.

Contact Information

Kimberly A Bautista, RN
801 Massachusetts Ave, Suite 6c,
Boston, MA 02118
(617) 414-5951
(617) 414-9201

Map and Direction




Provider's Profile

Full NameKimberly A Bautista
GenderFemale
SpecialityNurse Practitioner - Family
Location801 Massachusetts Ave, Suite 6c, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598355307
  • Provider Enumeration Date: 01/25/2021
  • Last Update Date: 03/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9436524451
  • Enrollment ID: I20230405000962

Medical Identifiers

Medical identifiers for Kimberly A Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598355307NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0400XRegistered Nurse - Case Management RN2311024 (Massachusetts)Secondary
363LF0000XNurse Practitioner - Family RN2311024 (Massachusetts)Primary

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 A Bautista allows following entities to bill medicare on her behalf.
Entity NameEvans Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912954124
PECOS PAC ID: 7416946546
Enrollment ID: O20040512000397
Entity NameHealthfair Plus Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376973461
PECOS PAC ID: 2365668720
Enrollment ID: O20211103001058

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 A Bautista 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 AddressPractice Location Address
Kimberly A Bautista, RN
960 Massachusetts Ave,
Boston, MA 02118-2620

Ph: () -
Kimberly A Bautista, RN
801 Massachusetts Ave, Suite 6c,
Boston, MA 02118

Ph: (617) 414-5951

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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