Individual provider Active NPI

Kimberly Anne Gailmard, APRN

  • Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1275369373
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R196339 Issued in MD
Practice address
12931 Oak Hill Ave
Hagerstown, MD 21742-2914
Phone
(301) 797-9600
NPI assigned
Sep 13, 2024
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R196339 MD Primary

Addresses

Primary practice location

12931 Oak Hill Ave
Hagerstown, MD 21742-2914

Mailing address

10720 Etzler Mill Rd
Woodsboro, MD 21798-8006
Phone (443) 864-9685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20241220003842 MD Practitioner - Nurse Practitioner 0749717205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
Otto Roza MD PAGroup PAC ID 4880596675, 10 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

12931 Oak Hill Ave
Hagerstown, MD 21742-2914
Phone (301) 797-9600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Otto Roza M.D., P.a. CurrentSince Oct 11, 2024 Accepting new patients
Shahid Mahmood MD Family Practice PA Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

140 Thomas Johnson Dr
Ste 202
Frederick, MD 21702
Phone (301) 620-9899

12931 Oak Hill Ave
Hagerstown, MD 21742
Phone (301) 797-2311

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9410/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kgailmard68181@direct.acumenmd.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1275369373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10720 ETZLER MILL RD",
            "city": "WOODSBORO",
            "state": "MD",
            "postal_code": "217988006",
            "telephone_number": "443-864-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12931 OAK HILL AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422914",
            "telephone_number": "301-797-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAILMARD",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R196339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.