Individual provider Active NPI

Kimberly Nachelle Stinson, ARNP

  • Primary Care Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1427239276
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP9259283 Issued in FL
Practice address
1900 Nebraska Ave
Suite 1
Fort Pierce, FL 34950-4837
Phone
(772) 464-3200
NPI assigned
Nov 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X ARNP9259283 FL Primary
Adult Health Nurse Practitioner 363LA2200X ARNP9259283 FL
Gerontology Nurse Practitioner 363LG0600X ARNP9259283 FL

Addresses

Primary practice location

1900 Nebraska Ave
Suite 1
Fort Pierce, FL 34950-4837

Mailing address

1900 Nebraska Ave
Suite 1
Fort Pierce, FL 34950-4837
Phone (772) 464-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190220002994 FL Practitioner - Nurse Practitioner 3971828476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians

Practice addresses (Care Compare)

1190 37TH St
Vero Beach, FL 32960-6507
Phone (772) 567-4311

3450 11TH CT
Vero Beach, FL 32960-5012

801 Wellness Way
Sebastian, FL 32958-3783

Hospital & facility affiliations

  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Health Services Inc CurrentSince Jan 7, 2019 Accepting new patients
Indian River Health Services Inc CurrentSince Jan 7, 2019 Accepting new patients

Locations

1155 35th Ln
Ste 204
Vero Beach, FL 32960
Phone (772) 563-4591

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1427239276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NEBRASKA AVE",
            "address_2": "SUITE 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504837",
            "telephone_number": "772-464-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NEBRASKA AVE",
            "address_2": "SUITE 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504837",
            "telephone_number": "772-464-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINSON",
        "first_name": "KIMBERLY",
        "middle_name": "NACHELLE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-21",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9259283",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9259283",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9259283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.