Individual provider Active NPI

Kimberly A Bumbera, NURSE PRACTITIONER

  • Gerontology Nurse Practitioner
  • Plantsville, CT
National Provider Identifier
1164085619
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
8176 Issued in CT
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

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20190516002251 CT Practitioner - Nurse Practitioner 8123361052 Reassigns benefits to 4 organizations
I20251024002128 RI Practitioner - Nurse Practitioner 8123361052 Reassigns benefits to 1 organization
I20251025000333 FL Practitioner - Nurse Practitioner 8123361052 Reassigns benefits to 1 organization
I20251108000065 SC Practitioner - Nurse Practitioner 8123361052 Reassigns benefits to 1 organization
I20260526001634 NJ Practitioner - Nurse Practitioner 8123361052 Reassigns benefits to 1 organization

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
Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians

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 Hospital, Putnam, CT, CCN 070003
  • Life Care Center of Pensacola Nursing home, Pensacola, FL, CCN 106073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8176CTMDSocial Worker
89547CTMDGerontology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd Connecticut PC CurrentSince Jun 21, 2023 Accepting new patients
HDC Care Solutions, LLC Gerontology CurrentSince Jun 22, 2024 Accepting new patients
Value Based Long Term Care H PC CurrentSince May 1, 2025 Accepting new patients
Post Acute Specialists, LLC CurrentSince Oct 1, 2025 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.