Individual provider Active NPI

Kimberly Jane Sturzenbecker, F.N.P.

  • Family Nurse Practitioner
  • Westfield, NY
National Provider Identifier
1356765200
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338527 Issued in NY
Practice address
26 Cass St
Westfield, NY 14787-1113
Phone
(716) 680-2890
NPI assigned
Feb 13, 2014
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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 338527 NY Primary

Addresses

Primary practice location

26 Cass St
Westfield, NY 14787-1113

Mailing address

9935 Miller Rd
Fredonia, NY 14063-9777
Phone (716) 680-2890

Other names 1

  • Ms. Kimberly Jane Kolassa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC, FL, SC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20140805001335 NY Practitioner - Nurse Practitioner 7517184104 Reassigns benefits to 1 organization
I20260219000874 NC Practitioner - Nurse Practitioner 7517184104 Reassigns benefits to 1 organization
I20260310000953 FL Practitioner - Nurse Practitioner 7517184104 Reassigns benefits to 1 organization
I20260323001776 SC Practitioner - Nurse Practitioner 7517184104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11780 US Hwy 1
Suite N107
Palm Beach Gardens, FL 33408

11780 US Hwy 1 N107
Palm Beach Gardens, FL 33408-3007

9935 Miller Rd
Fredonia, NY 14063-9777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
338527NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longevity Clinical LTC Associates of North Carolina PLLC CurrentSince Dec 1, 2025 Accepting new patients
Longevity Clinical LTC Associates of Florida PLLC CurrentSince Apr 1, 2026 Accepting new patients
Great Lakes Urology PLLC PastSince May 1, 2026 Accepting new patients
Lakeside Medical Practice PLLC PastSince Feb 1, 2024 Accepting new patients
Cancer Care of Western New York Past Accepting new patients

Locations

25 Reynolds Mountain Blvd
Asheville, NC 28804
Phone (828) 645-6619

401 Lambert Rd
Biscoe, NC 27209
Phone (910) 428-2117

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

NPI Registry JSON

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1356765200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9935 MILLER RD",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140639777",
            "telephone_number": "716-680-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CASS ST",
            "city": "WESTFIELD",
            "state": "NY",
            "postal_code": "147871113",
            "telephone_number": "716-680-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURZENBECKER",
        "first_name": "KIMBERLY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-13",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KOLASSA",
            "middle_name": "JANE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westfield, NY

Sources for this page

Verify at the official NPI Registry.