Individual provider Active NPI

Kimberly Kurtz Schunk, FNP-BC

  • Family Nurse Practitioner
  • Honeoye, NY
National Provider Identifier
1427150747
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F331061 Issued in NY
Practice address
3 Honeoye CMNS
Honeoye, NY 14471-8807
Phone
(585) 229-2215
NPI assigned
Sep 5, 2006
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0029977 OH
Family Nurse Practitioner 363LF0000X F331061 NY Primary
Family Nurse Practitioner 363LF0000X 209.006779 IL

Addresses

Primary practice location

3 Honeoye CMNS
Honeoye, NY 14471-8807

Mailing address

5007 W Lake Rd
Geneseo, NY 14454-9576
Phone (585) 613-6178

Other identifiers 2

IdentifierTypeStateIssuer
P019331061OtherNYEXCELLUS
109173BFOtherNYPREFERRED CARE

Other names 1

  • Kimberly Kurtz Schunk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20211203000792 OH Practitioner - Nurse Practitioner 4981764495
I20240730003327 NY Practitioner - Nurse Practitioner 4981764495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15 Canandaigua St
Shortsville, NY 14548-9763
Phone (585) 289-3560

3 Honeoye CMNS
Honeoye, NY 14471-8807
Phone (585) 229-2215

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
331061NYMDLicensed Practical Nurse
209.006779ILMDFamily Nurse Practitioner
F331061NYMDFamily Nurse Practitioner
0029977OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Frederick Ferris Thompson Hospital CurrentSince Jul 8, 2024 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Jul 8, 2024 Accepting new patients
Thomas Rohde, M.D., LTD PastSince Dec 15, 2012 Accepting new patients
Cardiovascular Consultants of Cleveland Inc PastSince Oct 1, 2021 Accepting new patients

Locations

73 Buffalo St
Ste 100
Canandaigua, NY 14424

3 Honeoye Cmns
Honeoye, NY 14471
Phone (585) 229-2215

7325 Community Dr
Lima, NY 14485
Phone (585) 624-1960

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71745
  • Direct secure messaging: kschunk491435@direct.urmc.rochester.edu

Organizations & group practices 4

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 4

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1427150747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 W LAKE RD",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144549576",
            "telephone_number": "585-613-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HONEOYE CMNS",
            "city": "HONEOYE",
            "state": "NY",
            "postal_code": "144718807",
            "telephone_number": "585-229-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUNK",
        "first_name": "KIMBERLY",
        "middle_name": "KURTZ",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0029977",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331061",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.006779",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "P019331061",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "109173BF",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KURTZ SCHUNK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honeoye, NY

Sources for this page

Verify at the official NPI Registry.