Individual provider Active NPI

Kimberly Marie Gambino, APRN, RN

  • Family Nurse Practitioner
  • Orange, CT
National Provider Identifier
1245527993
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4689 Issued in CT
Practice address
236 Boston Post Road
Unit 1a
Orange, CT 06477-3236
Phone
(475) 882-6824
Fax
(203) 693-2320
NPI assigned
Jul 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 83287 CT
Family Nurse Practitioner 363LF0000X 4689 CT Primary

Addresses

Primary practice location

236 Boston Post Road
Unit 1a
Orange, CT 06477-3236

Mailing address

236 Boston Post Road
Unit 1a
Orange, CT 06477-3236

Other identifiers 1

IdentifierTypeStateIssuer
008057180MedicaidCT

Other names 1

  • Kimberly Marie Testo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20130313000403 CT Practitioner - Nurse Practitioner 7214182500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Solutions Pain Management Clinic LLCGroup PAC ID 8628392693, 4 clinicians

Practice addresses (Care Compare)

236 Boston Post Rd
Orange, CT 06477-3236

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83287CTMDRegistered Nurse

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1245527993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 BOSTON POST ROAD",
            "address_2": "UNIT 1A",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 BOSTON POST ROAD",
            "address_2": "UNIT 1A",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773236",
            "telephone_number": "475-882-6824",
            "fax_number": "203-693-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBINO",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "APRN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "83287",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "4689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008057180",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "TESTO",
            "middle_name": "MARIE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange, CT

Sources for this page

Verify at the official NPI Registry.