Individual provider Active NPI

Kimberly E Hahn, FNP

  • Nurse Practitioner
  • Winchester, VA
National Provider Identifier
1477794709
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024175359 Issued in VA
Practice address
152 Linden Dr
Winchester, VA 22601-2818
Phone
(540) 667-9252
Fax
(540) 722-4514
NPI assigned
Mar 17, 2009
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024175359 VA Primary
Family Nurse Practitioner 363LF0000X 69024 WV
Family Nurse Practitioner 363LF0000X 0024175359 VA

Addresses

Primary practice location

152 Linden Dr
Winchester, VA 22601-2818

Mailing address

136 Linden Dr Ste 104
Winchester, VA 22601-6900
Phone (540) 678-3588

Other names 1

  • Kimberly E Hahn Rudolph Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 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
I20090921000141 WV Practitioner - Nurse Practitioner 4284780081 Reassigns benefits to 1 organization
I20180424002400 VA Practitioner - Nurse Practitioner 4284780081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
West Virginia University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14605 Potomac Branch Dr
Suite 300
Woodbridge, VA 22191-3337
Phone (703) 490-1112

152 Linden Dr
Winchester, VA 22601-2818
Phone (540) 667-9252

1830 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-4787

50 Riverton Commons Dr
Suite 50C
Front Royal, VA 22601-2808
Phone (540) 692-8977

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69024WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 1, 2024 Accepting new patients
Hahn Enterprises PLLC CurrentSince Aug 1, 2011 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 1, 2024 Accepting new patients
Centers for Advanced Orthopaedics LLC Current Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

152 Linden Dr
Winchester, VA 22601
Phone (540) 504-0118

14605 Potomac Branch Dr
Ste 300
Woodbridge, VA 22191
Phone (703) 490-1112

10 Valley St
Ste 101
Petersburg, WV 26847
Phone (304) 257-2152

Interoperability endpoints

  • Direct secure messaging: 45khahn@cfaortho.emadirect.md

Organizations & group practices 6

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 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": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1477794709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 LINDEN DR STE 104",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016900",
            "telephone_number": "540-678-3588",
            "fax_number": "540-678-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 LINDEN DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012818",
            "telephone_number": "540-667-9252",
            "fax_number": "540-722-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "KIMBERLY",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024175359",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "69024",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HAHN RUDOLPH",
            "middle_name": "E",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.