Individual provider Active NPI

Kimberly L. Walker, DNP

  • Women's Health Nurse Practitioner
  • Montrose, CO
National Provider Identifier
1104248913
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APN.0992125-NP Issued in CO
Practice address
715 S 3Rd St
Montrose, CO 81401-4209
Phone
(970) 249-6737
Fax
(970) 252-0112
NPI assigned
Jan 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APN.0992125-NP CO Primary

Addresses

Primary practice location

715 S 3Rd St
Montrose, CO 81401-4209

Mailing address

715 S 3Rd St
Montrose, CO 81401-4209
Phone (970) 249-6737

Other practice location 1

900 S 4th St
Montrose, CO 81401-4226
Phone (970) 249-6737

Other identifiers 1

IdentifierTypeStateIssuer
9000192334MedicaidCO

Other names 1

  • Kimberly Bowness Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20210507000376 CO Practitioner - Nurse Practitioner 4789809328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montrose Memorial Hospital, IncGroup PAC ID 1658272992, 148 clinicians

Practice addresses (Care Compare)

3330 S Rio Grande Ave
200 Apline Women'S Centre
Montrose, CO 81401-4850
Phone (970) 249-6737

Hospital & facility affiliations

  • Montrose Regional Health Hospital, Montrose, CO, CCN 060006

Merit-based Incentive Payment System (MIPS)

Final score
94.89 of 100Reported as apm
Quality
86.88
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montrose Memorial Hospital, Inc Current Accepting new patients
Mountain View Cardiology PC Past Accepting new patients

Locations

800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211

3330 S Rio Grande Ave
Ste 200
Montrose, CO 81401
Phone (970) 249-6737

Organizations & group practices 3

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 1

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": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1104248913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S 3RD ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014209",
            "telephone_number": "970-249-6737",
            "fax_number": "970-252-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S 3RD ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014209",
            "telephone_number": "970-249-6737",
            "fax_number": "970-252-0112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814014226",
            "country_code": "US",
            "telephone_number": "970-249-6737",
            "fax_number": "970-252-0112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KIMBERLY",
        "middle_name": "L.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "APN.0992125-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000192334",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BOWNESS",
            "credential": "WHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.