Individual provider Active NPI

Carrie Kime

  • Nurse Practitioner
  • Geneva, NY
National Provider Identifier
1598867723
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
335035 Issued in NY
Practice address
789 Pre Emption Rd
Suite 600
Geneva, NY 14456-2069
Phone
(315) 230-5646
Fax
(315) 230-5645
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 335035 NY Primary

Addresses

Primary practice location

789 Pre Emption Rd
Suite 600
Geneva, NY 14456-2069

Mailing address

789 Pre Emption Rd
Suite 600
Geneva, NY 14456-2069
Phone (315) 719-0060

Other identifiers 1

IdentifierTypeStateIssuer
02864368MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070403000022 NY Practitioner - Nurse Practitioner 6709980683 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geneva General Hospital, IncGroup PAC ID 7810809407, shared by 5 NPIs, 88 clinicians

Practice addresses (Care Compare)

196 N St
Geneva, NY 14456-1651
Phone (315) 787-4533

200 N St
Suite 203
Geneva, NY 14456-1561
Phone (315) 787-5383

Hospital & facility affiliations

  • Geneva General Hospital Hospital, Geneva, NY, CCN 330058
  • Soldiers and Sailors Memorial Hospital of Yates Hospital, Penn Yan, NY, CCN 331314

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geneva General Hospital, Inc Current Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Sep 1, 2015 Accepting new patients
Geneva General Hospital, Inc. CurrentSince Dec 21, 2024 Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Sep 1, 2015 Accepting new patients
Geneva General Hospital CurrentSince Nov 21, 2015 Accepting new patients
Geneva General Hospital Inc. Past Accepting new patients
FLH Medical, PC Past Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

196 North St
Geneva, NY 14456
Phone (315) 787-4156

789 Pre Emption Rd
Ste 600
Geneva, NY 14456
Phone (315) 719-0060

200 North St
Ste 203
Geneva, NY 14456
Phone (315) 787-5383

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Interoperability endpoints

  • Direct secure messaging: c.kime@flhmedical.medentdirect.com

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1598867723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 PRE EMPTION RD",
            "address_2": "SUITE 600",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562069",
            "telephone_number": "315-719-0060",
            "fax_number": "315-719-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 PRE EMPTION RD",
            "address_2": "SUITE 600",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562069",
            "telephone_number": "315-230-5646",
            "fax_number": "315-230-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIME",
        "first_name": "CARRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "335035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02864368",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

Verify at the official NPI Registry.