Active NPI
Kimberly A Bumbera, NURSE PRACTITIONER
- Gerontology Nurse Practitioner
- Plantsville, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 8176
- Practice address
- 187 Marion Ave
Plantsville, CT 06479-1442 - Phone
- (860) 919-9560
- NPI assigned
- Apr 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 8176 | CT | Primary |
| Gerontology Registered Nurse | 163WG0600X | 89547 | CT |
Addresses
Primary practice location
187 Marion Ave
Plantsville, CT 06479-1442
Mailing address
187 Marion Ave
Plantsville, CT 06479-1442
Phone (860) 919-9560
Other practice location 1
560 Cumberland Hill Rd
Woonsocket, RI 02895-5635
Phone (800) 411-6768
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, RI, FL, SC, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
320 Colony St
Meriden, CT 06451-2053
Phone (203) 235-5716
50 Maude St
Providence, RI 02908-4325
Phone (401) 456-2600
560 Cumberland Hill Rd
Woonsocket, RI 02895-5635
Phone (401) 769-0800
59 Harrington CT
Colchester, CT 06415-1207
Phone (860) 537-2339
70 Gill Ave
Pawtucket, RI 02861-4315
Phone (401) 722-7900
860 N Quidnessett Rd
North Kingstown, RI 02852-1000
Phone (401) 884-1802
Hospital & facility affiliations
- Day Kimball Hospital
- Life Care Center of Pensacola
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8176 | CT | MD | Social Worker |
| 89547 | CT | MD | Gerontology Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careconnectmd Connecticut PC | Current | Accepting new patients | |
| HDC Care Solutions, LLC | Gerontology | Current | Accepting new patients |
| Value Based Long Term Care H PC | Current | Accepting new patients | |
| Post Acute Specialists, LLC | Current | Accepting new patients | |
| Absolute Outcomes, LLC | Past | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
59 Harrington Ct
Colchester, CT 06415
Phone (860) 537-2339
101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550
5 Research Dr
Shelton, CT 06484
Phone (203) 567-5264
1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000
1290 Celebration Blvd
Kissimmee, FL 34747
Phone (321) 337-7400
10095 Hillview Dr
Pensacola, FL 32514
Phone (850) 479-4000
560 Cumberland Hill Rd
Woonsocket, RI 02895
Phone (401) 769-0800
550 Eastgate Dr
Aiken, SC 29803
Phone (803) 643-3694
9825 S Jordan Gtwy
Sandy, UT 84070
Organizations & group practices 7
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Stamford, CT
- NPI 1467187336
-
- Geriatric Medicine (Internal Medicine) Physician
- Framingham, MA
- NPI 1134951676
CT
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Pinellas Park, FL
- NPI 1669817516
-
- Internal Medicine Physician
- Phillipsburg, NJ
- NPI 1013769868
-
- Internal Medicine Physician
- Monroe, CT
- NPI 1073746202
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Putnam, CT
- NPI 1205056371
-
- General Acute Care Hospital
- Putnam, CT
- NPI 1649243478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1164085619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 MARION AVE",
"city": "PLANTSVILLE",
"state": "CT",
"postal_code": "064791442",
"telephone_number": "860-919-9560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 MARION AVE",
"city": "PLANTSVILLE",
"state": "CT",
"postal_code": "064791442",
"telephone_number": "860-919-9560"
}
],
"practiceLocations": [
{
"address_1": "560 Cumberland Hill Rd",
"address_purpose": "LOCATION",
"city": "Woonsocket",
"state": "RI",
"postal_code": "028955635",
"country_code": "US",
"telephone_number": "800-411-6768",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUMBERA",
"first_name": "KIMBERLY",
"middle_name": "A",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-19",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CT",
"license": "8176",
"primary": true
},
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "CT",
"license": "89547",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantsville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.
- 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.