Kimberly Marie Will, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP029159 Issued in PA

Practice address

20 Gillis Ave Unit 6
Ridgway, PA 15853-1604

Phone

(814) 772-5741

NPI assigned

Mar 12, 2024

Last updated

Jul 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Guidance CenterGroup PAC ID 7517850720, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Community Guidance Center

  • Community/Behavioral Health Agency
  • Indiana, PA
  • NPI 1609862622
  Medicare reassignment Care Compare group NPD
• Jamestown Psychiatric PC

  • Child & Adolescent Psychiatry Physician
  • Jamestown, NY
  • NPI 1700062247

  PA

  Medicare reassignment NPD
• Community Guidance Center

  • Community/Behavioral Health Agency
  • Northern Cambria, PA
  • NPI 1366944332
  NPD (past)
• Jamestown Psychiatric PC

  • Psychiatry Physician
  • Ridgway, PA
  • NPI 1003505132
  NPD (past)

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1477311603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 1ST ST",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013059",
            "telephone_number": "814-603-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GILLIS AVE UNIT 6",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158531604",
            "telephone_number": "814-772-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILL",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP029159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Tassone, RN
• Troy Templeton, PA
• Cassie Titchner, LSW
• David J Webster, LCSW
• Alison Whiteman
• Kristen Williams, LCSW
• Tonya Wolfe
• John W Yates, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Ridgway, PA
• Providers in Ridgway, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.