Kimberly Lydia Pelger, ACCNS-AG, APRN

Primary specialty

Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X

License

4704306817NSA260QC Issued in MI

Practice address

9300 Dewitt Loop
Fort Belvoir, VA 22060-5285

Phone

(734) 657-0086

NPI assigned

Sep 23, 2026

Last updated

Sep 23, 2026By 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 1

Addresses

Other names 1

• Ms. Kimberly Lydia Kozlowski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1154234078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 FARMINGTON DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223031313",
            "telephone_number": "734-657-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605285",
            "telephone_number": "734-657-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELGER",
        "first_name": "KIMBERLY",
        "middle_name": "LYDIA",
        "name_prefix": "Mrs.",
        "credential": "ACCNS-AG, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "MI",
            "license": "4704306817NSA260QC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KOZLOWSKI",
            "middle_name": "LYDIA",
            "prefix": "MS.",
            "credential": "BSN, RN, CCRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kerry Blaine Patterson, MD MPH
• Charla Patton, LCSW
• Michael Paul, M.D.
• Kelly Elizabeth Paulett, OD
• Brayson Pawelczyk, MD
• Nicole Colleen Pelham, M.D.
• Chelsy Pelletier-Blain, LCSW
• Suzette Wei-Ann Peng, MD
• Keith Henry Penska, M.D.
• Sandra Ohemaa Peprah, M.D.

• Acute Care Clinical Nurse Specialist in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Acute Care Clinical Nurse Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.