Kimberley Wyrick, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102202004 Issued in VA

Practice address

1380 Blackberry LN
Rockingham, VA 22802-0901

Phone

(540) 534-4539

Fax

(540) 304-3295

NPI assigned

Aug 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Sep 11, 2024 through Sep 11, 2026

Merit-based Incentive Payment System (MIPS)

Final score

87.87 of 100Reported as group

Quality

87.75

Improvement activities

40

Cost

75.9

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1083805683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 SUGAR MAPLE LN",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228014636",
            "telephone_number": "540-327-1385",
            "fax_number": "540-304-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 BLACKBERRY LN",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228020901",
            "telephone_number": "540-534-4539",
            "fax_number": "540-304-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYRICK",
        "first_name": "KIMBERLEY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102202004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Scott Wills, RPH
• Jason P Wilson, P.A.
• Mary Helen Witt, MD
• Michelle Witt, BCBA, LBA
• Jessica Woodward, PHARMD
• Shelley Yang, DDS
• Anna L. Yerrid, P.A.
• Jeffrey York
• Yuriy Olegovich Zhukov, MD

• Family Medicine Physician in Rockingham, VA
• Providers in Rockingham, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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; Opt Out Affidavits.
• 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.