Individual provider Active NPI

Kimberly Mann, FNP-C

  • Family Nurse Practitioner
  • Milton, WV
National Provider Identifier
1548695844
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN72536 Issued in WV
Practice address
220 Johns Creek Road
Milton, WV 25541-1513
Phone
(304) 743-1407
Fax
(304) 743-4516
NPI assigned
Sep 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 72536 WV
Family Nurse Practitioner 363LF0000X APRN72536 WV Primary

Addresses

Primary practice location

220 Johns Creek Road
Milton, WV 25541-1513

Mailing address

PO Box 1680
Huntington, WV 25717-1680
Phone (304) 781-5159

Other practice location 1

2 Stonecrest Dr
Huntington, WV 25701-9391
Phone (304) 525-2273

Other practice location 2

1340 Hal Greer Blvd
Huntington, WV 25701-3800
Phone (304) 526-2319

Other practice location 3

1100 Hospital Dr
Hurricane, WV 25526-8712
Phone (304) 757-8803

Other identifiers 3

IdentifierTypeStateIssuer
1548695844MedicaidWV
0097522MedicaidOH
7100294060MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.mann@direct.chhi.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20140415001074 WV Practitioner - Nurse Practitioner 8729210257 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
JC Edwards School of Medicine, Marshall University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Systems, IncGroup PAC ID 9931017969, shared by 41 NPIs, 110 clinicians

Practice addresses (Care Compare)

1100 Hospital Dr
Hurricane, WV 25526-8712
Phone (304) 757-8683

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72536WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems, Inc. CurrentSince Oct 31, 2023 Accepting new patients
Valley Health Systems, Inc. CurrentSince Oct 31, 2023 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Occumed, LLC CurrentSince Jul 1, 2017 Accepting new patients
Valley Health Systems Inc CurrentSince Sep 22, 2025 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Cabell Huntington Hospital Inc CurrentSince Jun 15, 2016 Accepting new patients
Valley Health Systems Inc Family Current Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Cabell Huntington Hospital Inc Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Oct 31, 2023 Accepting new patients
Cabell Huntington Hospital Inc Family CurrentSince Jun 15, 2016 Accepting new patients
Valley Health Systems Inc Past Accepting new patients

Locations

2908 Auburn Rd
Huntington, WV 25704
Phone (304) 781-5800

1600 Medical Center Dr
Ste 2500
Huntington, WV 25701
Phone (304) 691-1200

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

2 Stonecrest Dr
Huntington, WV 25701
Phone (304) 525-2273

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

1100 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-8683

220 Johns Creek Rd
Milton, WV 25541
Phone (304) 743-1407

Interoperability endpoints

  • Direct secure messaging: kimberly.mann@direct.chhi.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1548695844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1680",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257171680",
            "telephone_number": "304-781-5159",
            "fax_number": "304-523-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 JOHNS CREEK ROAD",
            "city": "MILTON",
            "state": "WV",
            "postal_code": "255411513",
            "telephone_number": "304-743-1407",
            "fax_number": "304-743-4516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Stonecrest Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257019391",
            "country_code": "US",
            "telephone_number": "304-525-2273",
            "fax_number": "304-525-2165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1340 Hal Greer Blvd",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257013800",
            "country_code": "US",
            "telephone_number": "304-526-2319",
            "fax_number": "304-526-2420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "WV",
            "postal_code": "255268712",
            "country_code": "US",
            "telephone_number": "304-757-8803",
            "fax_number": "304-757-8684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2024-07-18",
        "certification_date": "2024-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "72536",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN72536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548695844",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097522",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100294060",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.mann@direct.chhi.org",
            "affiliation": "N",
            "address_1": "1340 Hal Greer Blvd",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milton, WV

Sources for this page

Verify at the official NPI Registry.