Kimberly Lynne Rexrode, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Hot Springs, VA
NPI 1285734079 · NPPES record last updated Aug 22, 2023
Key facts
- NPI
- 1285734079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024167057 (VA)
- Practice address
- 106 Park Dr
PO Drawer Z
Hot Springs, VA 24445-2921 - Phone
- (540) 839-7197
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Virginia Commonwealth University, School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bath County Community Hospital
Practice addresses (Care Compare)
PO Box Z
Hot Springs, VA 24445
Hospital & facility affiliations
- Bath Community Hospital
- Augusta Health
- Lewisgale Hospital Alleghany
- Lewisgale Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070419000225 | VA | Practitioner - Nurse Practitioner | 2668577602 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bath County Community Hospital | Current |
Accepting new patients | |
| Bath County Community Hospital | Past | Accepting new patients | |
| Bath County Community Hospital | Past | Accepting new patients |
Locations
713 S Monroe Ave
Covington, VA 24426
Phone (540) 962-1122
322 W Riverside St
Covington, VA 24426
Phone (540) 962-1122
432 Church St
Millboro, VA 24460
Phone (540) 962-5049
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024167057 | VA | Yes |
Addresses
Primary practice location
106 Park Dr
PO Drawer Z
Hot Springs, VA 24445-2921
Mailing address
106 Park Dr
PO Drawer Z
Hot Springs, VA 24445-2921
Phone (540) 839-7197
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285734079 | Medicaid | VA |
Other providers in Hot Springs, VA
- Michaela Kern McDaniel
- Pari B. Baker LCSW LLC
- Pro Dental VA 1, P.C.
- Sommer Gale Quantz
- RBM Opco of Hot Springs LLC
- Amanda Mae Rizk
- Levi Rizk
- Skylar Alexis Shelton
- Tamra Stall
- Christine Worsham
All providers in Hot Springs, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.