Kimberly Ann Neiman, NP
Individual provider Active NPI Family Nurse Practitioner · Vestal, NY
NPI 1023780541 · NPPES record last updated Mar 18, 2022
Key facts
- NPI
- 1023780541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 349332 (NY)
- Practice address
- 4417 Vestal Pkwy E
Vestal, NY 13850-3556 - Phone
- (607) 729-2144
- Fax
- (607) 729-2145
- NPI assigned
- Oct 3, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- United Health Services Hospitals, Inc.
Practice addresses (Care Compare)
4417 Vestal Pkwy E
Vestal, NY 13850-3556
Phone (607) 770-7365
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 86.74
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.09
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.13 of 100
- Quality
- 77.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.02
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220509001406 | NY | Practitioner - Nurse Practitioner | 4789061979 | Reassigns benefits to 1 organization |
| I20230725000677 | PA | Practitioner - Nurse Practitioner | 4789061979 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11014566 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Family Medicine | Current |
Accepting new patients |
| Guthrie Medical Group, P.C. | Family Medicine | Current | Accepting new patients |
| Guthrie Medical Group, P.C, | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Current |
Accepting new patients | |
| Guthrie Medical Group, P.C. | Family Medicine | Current |
Accepting new patients |
| United Medical Associates PC | Past | Accepting new patients |
Locations
33 Lewis Rd
Ste 2
Binghamton, NY 13905
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
4417 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 729-2144
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
132 Colonial Dr
Towanda, PA 18848
Phone (570) 265-6165
Interoperability endpoints
- kneiman164146@direct-guthrie.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | APRN11014566 | FL | |
| Family Nurse Practitioner | 363LF0000X | 349332 | NY | Yes |
Addresses
Primary practice location
4417 Vestal Pkwy E
Vestal, NY 13850-3556
Mailing address
33 Lewis Rd, 2ND Floor
Binghamton, NY 13905
Phone (607) 770-0025
NPI Registry JSON
{
"created_epoch": "1633219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1023780541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 LEWIS RD, 2ND FLOOR",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13905",
"telephone_number": "607-770-0025",
"fax_number": "607-729-3982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4417 VESTAL PKWY E",
"city": "VESTAL",
"state": "NY",
"postal_code": "138503556",
"telephone_number": "607-729-2144",
"fax_number": "607-729-2145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIMAN",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-03",
"last_updated": "2022-03-18",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "APRN11014566",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "349332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vestal, NY
- Catherine Nandzik
- Cassandra Leigh Natali
- National Vision, Inc.
- Connie A Naughton
- NC Medical of Ny PC
- Neuro Medical Care Associates PLLC
- Neurosciences and Spine Group
- Neurosciences Healthcare Medicine, PC
- Neurosciences Healthcare Medicine, PC
- New York Dental LLC
All providers in Vestal, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.