Laurie Klimczyk, AGNP-C
Individual provider Active NPI Gerontology Nurse Practitioner · Laurel Fork, VA
NPI 1588046239 · NPPES record last updated Feb 3, 2025
Key facts
- NPI
- 1588046239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 0024192471 (VA)
- Practice address
- 693 Oakwood Rd
Laurel Fork, VA 24352-3647 - Phone
- (276) 966-0711
- Fax
- (276) 966-0711
- NPI assigned
- Jun 18, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Curana Health of Virginia LLC
Eventus Premier Healthcare LLC
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
- Blue Ridge Home Health Care
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.75 of 100
- Quality
- 77.19
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 80.74
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NC, VA, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171010000696 | NC | Practitioner - Nurse Practitioner | 7719294735 | Reassigns benefits to 2 organizations |
| I20250317002775 | VA | Practitioner - Nurse Practitioner | 7719294735 | Reassigns benefits to 4 organizations |
| I20260428001140 | DC | Practitioner - Nurse Practitioner | 7719294735 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 |
|---|---|---|---|
| Ih Physician Services, PC | Current |
Accepting new patients | |
| Firsthealth of the Carolinas, Inc | Current |
Accepting new patients | |
| Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic | Current |
Accepting new patients | |
| Eventus Premier Healthcare LLC | Nurse Practitioner | 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) 777-3787
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5009491 | NC | |
| Nurse Practitioner | 363L00000X | F307231 | NY | |
| Gerontology Nurse Practitioner | 363LG0600X | 0024192471 | VA | Yes |
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
Other providers in Laurel Fork, VA
- Mary Caroniti Hansen
- Walter Curtis Hodges Jr.
- Carla T Horton
- Pamela Ruth Hylton
- Tiffany Michelle Jackson
- Laurel Fork Family Practice
- Laurel Meadows Life Care L C
- Jeanie Lea Lockhart
- Bill McFeature
- Brian Douglas Miller
All providers in Laurel Fork, VA · Gerontology Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.