Kimberly Marie Conroy, APRN-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F400540-1 Issued in NY

Practice address

2656 W State St
Suite 502
Olean, NY 14760-1871

Phone

(716) 373-2796

Fax

(716) 373-8592

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of CattaraugusGroup PAC ID 3375455124, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Olean General Hospital Hospital, Olean, NY, CCN 330103

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• County of Cattaraugus

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Olean, NY
  • NPI 1659414696

  NY, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• County of Cattaraugus County Treasurer

  • Home Health Agency
  • Olean, NY
  • NPI 1336183805
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Olean General Hospital

  • General Acute Care Hospital
  • Olean, NY
  • NPI 1225083074

  Hospital

  Care Compare affiliation
• Olean General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Olean, NY
  • NPI 1699715904

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619902889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 W STATE ST",
            "address_2": "SUITE 502",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601871",
            "telephone_number": "716-373-2796",
            "fax_number": "716-373-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 W STATE ST",
            "address_2": "SUITE 502",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601871",
            "telephone_number": "716-373-2796",
            "fax_number": "716-373-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONROY",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400540-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7804304",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7480187",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "337111",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000560522003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9190043",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Collins
• Sheila Marie Collins, LMSW, BCBA, LBA
• Jacqueline Ann Comello
• Hailey Conner
• Chelsea Connor, LMSW
• Lisa Cook
• Brielle Lauren Cornelius
• Denise Ann Cornell, MS, PT
• Kamrie Christine Costello, FNP-C
• Janet Elaine Cottillion, RN

• All providers in Olean, NY
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.