Individual provider Active NPI

Kimberly Hildebrand, ANP

  • Adult Health Nurse Practitioner
  • New Castle, PA
National Provider Identifier
1447506563
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA13545-NP Issued in OH
Practice address
2602 Wilmington Rd
New Castle, PA 16105-1537
Phone
(724) 658-7300
NPI assigned
Jul 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X COA13545-NP OH Primary

Addresses

Primary practice location

2602 Wilmington Rd
New Castle, PA 16105-1537

Mailing address

PO Box 8500-6536
Philadelphia, PA 19178-6536
Phone (330) 318-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 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
I20120828000228 OH Practitioner - Nurse Practitioner 5890942734 Reassigns benefits to 1 organization
I20230318000029 PA Practitioner - Nurse Practitioner 5890942734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Hematology Association IncGroup PAC ID 9830003300, 201 clinicians

Practice addresses (Care Compare)

5115 Centre Ave
FL 3
Pittsburgh, PA 15232-1301
Phone (412) 235-1020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.98 of 100Reported as group
Quality
72.17
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
64.81 of 100Reported as group
Quality
42.46
Improvement activities
40
Cost
76.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA13545-NPOHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC CurrentSince Aug 15, 2022 Accepting new patients
Oncology Hematology Association CurrentSince Jan 16, 2023 Accepting new patients
Oncology Hematology Association Inc CurrentSince Jan 16, 2023 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients
Quest Diagnostics of Pennsylvania Inc PastSince Jul 24, 2012 Accepting new patients

Locations

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

500 Gypsy Ln
Youngstown, OH 44504
Phone (330) 740-4572

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

901 Trailwood Dr
Youngstown, OH 44512
Phone (330) 726-3000

2602 Wilmington Rd
New Castle, PA 16105
Phone (724) 652-5505

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020

Interoperability endpoints

  • Direct secure messaging: kim.hildebrand@hope.ikm.direct-ci.com
  • Direct secure messaging: khildebrand37802@direct.bsmhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1447506563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500-6536",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191786536",
            "telephone_number": "330-318-1100",
            "fax_number": "330-318-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 WILMINGTON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051537",
            "telephone_number": "724-658-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDEBRAND",
        "first_name": "KIMBERLY",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA13545-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.