NPIMap

Individual provider Active NPI

Kimberly Ann Kovacich, NP

  • Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1013066620
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71000468A Issued in IN
Practice address
1010 Borden Rd
Richmond, VA 23229-6716
Phone
(833) 767-4386
Fax
(833) 874-0554
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024191129 VA
Nurse Practitioner 363L00000X 71000468A IN Primary

Addresses

Primary practice location

1010 Borden Rd
Richmond, VA 23229-6716

Mailing address

1010 Borden Rd
Richmond, VA 23229-6716
Phone (833) 767-4386

Other practice location 1

4001 Coliseum Dr Ste 310A
Hampton, VA 23666-6257
Phone (757) 736-2540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250505001980 VA Practitioner - Nurse Practitioner 6204068646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

2405 Atherholt Rd
Lynchburg, VA 24501-2184
Phone (434) 485-8517

4001 Coliseum Dr
Suite 310a
Hampton, VA 23666-6257
Phone (757) 736-2540

Hospital & facility affiliations

  • Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71000468AINMDNurse Practitioner
0024191129VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc CurrentSince Jan 7, 2026 Accepting new patients
Orthovirginia, Inc. CurrentSince Jan 7, 2026 Accepting new patients
Sentara Medical Group CurrentSince May 1, 2025 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

4001 Coliseum Dr
Ste 310A
Hampton, VA 23666
Phone (757) 431-7771

2405 Atherholt Rd
Lynchburg, VA 24501
Phone (434) 485-8500

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Interoperability endpoints

  • Direct secure messaging: kkovacich1048433@direct.sentara.net

Organizations & group practices 6

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

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1013066620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 BORDEN RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232296716",
            "telephone_number": "833-767-4386",
            "fax_number": "833-874-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 BORDEN RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232296716",
            "telephone_number": "833-767-4386",
            "fax_number": "833-874-0554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 Coliseum Dr Ste 310A",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236666257",
            "country_code": "US",
            "telephone_number": "757-736-2540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVACICH",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024191129",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71000468A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.