Individual provider Active NPI

Laurie Klimczyk, AGNP-C

  • Gerontology Nurse Practitioner
  • Laurel Fork, VA
National Provider Identifier
1588046239
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024192471 Issued in VA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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 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, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Curana Health of Virginia LLCGroup PAC ID 6507119690, 45 clinicians
Eventus Premier Healthcare LLCGroup PAC ID 6305381013, 105 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
307231NYMDLicensed Practical Nurse
F307231NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Mar 30, 2021 Accepting new patients
Firsthealth of the Carolinas, Inc CurrentSince Mar 30, 2021 Accepting new patients
Eventus Premier Healthcare LLC Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients
Ih Physician Services PC CurrentSince Jul 1, 2023 Accepting new patients
Eventus WH PLLC Care, LLC CurrentSince Dec 1, 2025 Accepting new patients
Ih Physician Services, PC CurrentSince Jul 1, 2023 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.

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": "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

Verify at the official NPI Registry.