Active NPI
Laurie Klimczyk, AGNP-C
- Gerontology Nurse Practitioner
- Laurel Fork, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 0024192471
- Practice address
- 693 Oakwood Rd
Laurel Fork, VA 24352-3647 - Phone
- (276) 966-0711
- Fax
- (276) 966-0711
- NPI assigned
- Jun 18, 2015
- Last updated
- Feb 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5009491 | NC | |
| Nurse Practitioner | 363L00000X | F307231 | NY | |
| Gerontology Nurse Practitioner | 363LG0600X | 0024192471 | VA | Primary |
Addresses
Primary practice location
693 Oakwood Rd
Laurel Fork, VA 24352-3647
Mailing address
693 Oakwood Rd
Laurel Fork, VA 24352-3647
Phone (276) 966-0711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10900 Nuckols Rd
Suite 110
Glen Allen, VA 23060-9246
Phone (337) 991-9276
13700 Magna Way
Herndon, VA 20171-5444
Phone (337) 991-9276
250 Browns Hill CT
Midlothian, VA 23114-9510
Phone (855) 743-2247
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.75 of 100
- Quality
- 77.19
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 80.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307231 | NY | MD | Licensed Practical Nurse |
| F307231 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic | Current | Accepting new patients | |
| Firsthealth of the Carolinas, Inc | Current | Accepting new patients | |
| Eventus Premier Healthcare LLC | Nurse Practitioner | Current | Accepting new patients |
| Ih Physician Services PC | Current | Accepting new patients | |
| Eventus WH PLLC Care, LLC | Current | Accepting new patients | |
| Ih Physician Services, PC | Current | Accepting new patients |
Locations
655 Brawley School Rd
Ste 200
Mooresville, NC 28117
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
100 Pavilion Way
Ste E4
Southern Pnes, NC 28387
Phone (910) 684-5078
251 Campground Rd
West End, NC 27376
Phone (910) 715-6000
250 Browns Hill Ct
Midlothian, VA 23114
Phone (424) 328-6526
999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3433
Organizations & group practices 8
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Midlothian, VA
- NPI 1437998309
Nurse Practitioner
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- West End, NC
- NPI 1396020202
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Southern Pines, NC
- NPI 1447959093
-
dba FirstHealth Weight Management Clinic
- Obesity Medicine (Preventive Medicine) Physician
- Pinehurst, NC
- NPI 1316626104
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Knoxville, TN
- NPI 1770469389
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Blue Ridge Home Health Care Services, Inc.
- Home Health Agency
- Galax, VA
- NPI 1801042866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1588046239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "693 OAKWOOD RD",
"city": "LAUREL FORK",
"state": "VA",
"postal_code": "243523647",
"telephone_number": "276-966-0711",
"fax_number": "276-966-0711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "693 OAKWOOD RD",
"city": "LAUREL FORK",
"state": "VA",
"postal_code": "243523647",
"telephone_number": "276-966-0711",
"fax_number": "276-966-0711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLIMCZYK",
"first_name": "LAURIE",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-18",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5009491",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F307231",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "VA",
"license": "0024192471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel Fork, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.