Kimberley A Betker, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F331172-1 Issued in NY

Practice address

6279 South Hornell Rd
Hornell, NY 14843-9030

Phone

(607) 661-4800

Fax

(607) 661-4799

NPI assigned

May 25, 2006

Last updated

Jun 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kimberley A Odell Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Memorial Hospital of William F and Gertrude F Jones IncGroup PAC ID 7012828486, 130 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Corning, NY, CCN 337292
• Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
• St James Hospital Hospital, Hornell, NY, CCN 330151
• Jones Memorial Hospital Hospital, Wellsville, NY, CCN 330096

Merit-based Incentive Payment System (MIPS)

Final score

83.2 of 100Reported as group

Quality

60.03

Promoting interoperability

99

Improvement activities

40

Cost

73.33

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Memorial Hospital of William F. and Gertrude F. Jones, Inc.

  dba Jones Memorial Hospital

  • General Acute Care Hospital
  • Wellsville, NY
  • NPI 1720030703
  Medicare reassignment Care Compare group NPD
• St James Hospital

  • Rural Acute Care Hospital
  • Hornell, NY
  • NPI 1013985399
  Medicare reassignment NPD
• Strong Medical Group

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1184664948
  Medicare reassignment NPD
• The Memorial Hospital of William F. and Gertrude F. Jones, Inc.

  dba Jones Memorial Hospital

  • Rural Health Clinic/Center
  • Hornell, NY
  • NPI 1457974644
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• QC-Medi New York, Inc.

  dba CenterWell Home Health

  • Home Health Agency
  • Corning, NY
  • NPI 1114959988
  Care Compare affiliation
• St James Hospital

  • Rural Acute Care Hospital
  • Hornell, NY
  • NPI 1013985399
  Care Compare affiliation
• The Memorial Hospital of William F. and Gertrude F. Jones, Inc.

  dba Jones Memorial Hospital

  • General Acute Care Hospital
  • Wellsville, NY
  • NPI 1720030703
  Care Compare affiliation
• Visiting Nursing Association of Western New York, Inc.

  • Home Health Agency
  • Cheektowaga, NY
  • NPI 1730268384
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1003862855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6279 SOUTH HORNELL RD",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148439030",
            "telephone_number": "607-661-4800",
            "fax_number": "607-661-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6279 SOUTH HORNELL RD",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148439030",
            "telephone_number": "607-661-4800",
            "fax_number": "607-661-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETKER",
        "first_name": "KIMBERLEY",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F331172-1",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "331172",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01790183",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbetker109086@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbetker109086@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLEY",
            "last_name": "ODELL",
            "middle_name": "A",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle S Bennett, NP
• Catherine Angela Bergquist, RPH
• Rick Roger Bergquist, RPH
• Steve Berkowitz, DDS
• Lesandra June Bertch, RN
• Shannon Billings
• Kailey Elizabeth Boor, LMSW
• Eric Thomas Booth, RPH
• Kelly Kane Bracken, LCSW
• Lori A Brink

• Nurse Practitioner in Hornell, NY
• Providers in Hornell, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.