Individual provider Active NPI

Kimberly R Sheldon, FNP-C

  • Family Nurse Practitioner
  • Roscoe, NY
National Provider Identifier
1285301465
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348214 Issued in NY
Practice address
1982 Old Route 17
Roscoe, NY 12776-5200
Phone
(607) 498-4800
Fax
(607) 498-5455
NPI assigned
Aug 25, 2021
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 348214 NY Primary

Addresses

Primary practice location

1982 Old Route 17
Roscoe, NY 12776-5200

Mailing address

2 Titus Place
Walton, NY 13856-1455
Phone (607) 865-2400

Other names 1

  • Kimberly R Bingay Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20211014001860 NY Practitioner - Nurse Practitioner 0547668964 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Valley Hospital Inc.Group PAC ID 2860388337, shared by 3 NPIs, 46 clinicians

Practice addresses (Care Compare)

2 Titus PL
Walton, NY 13856-1455
Phone (607) 865-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.92 of 100Reported as group
Quality
68.46
Promoting interoperability
99
Improvement activities
40
Cost
77.61

Merit-based Incentive Payment System (MIPS)

Final score
96.41 of 100Reported as group
Quality
90.71
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
348214NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley Hospital, Inc CurrentSince Mar 14, 2022 Accepting new patients
Middletown Medical PC CurrentSince Sep 27, 2021 Accepting new patients
Delaware Valley Hospital, Inc Current Accepting new patients
Middletown Medical PC CurrentSince Sep 27, 2021 Accepting new patients
New York Community Hospital of Brooklyn, Inc. PastSince Aug 1, 2021 Accepting new patients

Locations

111 Maltese Dr
Middletown, NY 10940

4058 State Route 42
Ste 5
Monticello, NY 12701

1 Titus Pl
Walton, NY 13856
Phone (607) 337-4700

2 Titus Pl
Walton, NY 13856
Phone (607) 865-2197

2 Titus Pl
#13202
Walton, NY 13856
Phone (607) 865-2197

Organizations & group practices 5

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": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1285301465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TITUS PLACE",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138561455",
            "telephone_number": "607-865-2400",
            "fax_number": "607-865-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1982 OLD ROUTE 17",
            "city": "ROSCOE",
            "state": "NY",
            "postal_code": "127765200",
            "telephone_number": "607-498-4800",
            "fax_number": "607-498-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELDON",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2025-06-17",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BINGAY",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roscoe, NY

Sources for this page

Verify at the official NPI Registry.