Mrs Kimberly Carly Nicole Stevenson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Scarbro, West Virginia. Her current practice location is
908 Scarbro Rd, Scarbro, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 469-2905.
Mrs Kimberly Carly Nicole Stevenson is licensed to practice in Virginia (license number 0024180856) 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 1053818450.
Provider's Profile
Full Name | Mrs Kimberly Carly Nicole Stevenson |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 908 Scarbro Rd, Scarbro, West Virginia |
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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:
- Mrs Kimberly Carly Nicole Stevenson attended and graduated from in
NPI Data:
- NPI Number: 1053818450
- Provider Enumeration Date: 04/11/2018
- Last Update Date: 03/10/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Kimberly Carly Nicole Stevenson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053818450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 467275 (Ohio) | Secondary |
163W00000X | Registered Nurse | 97400 (West Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 108428 (West Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024180856 (Virginia) | Primary |
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. Mrs Kimberly Carly Nicole Stevenson 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 |
Mrs Kimberly Carly Nicole Stevenson, FNP-BC 908 Scarbro Rd, Scarbro, WV 25917-8837 Ph: (304) 469-2905 | Mrs Kimberly Carly Nicole Stevenson, FNP-BC 908 Scarbro Rd, Scarbro, WV 25917-8837 Ph: (304) 469-2905 |
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