Individual provider Active NPI

Kimberly Marie Whitbeck-Drake, NP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1639786981
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
347848 Issued in NY
Practice address
165 Broadway FL 23
New York, NY 10006-1452
Phone
(888) 731-8994
NPI assigned
Sep 29, 2020
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 347848 NY Primary

Addresses

Primary practice location

165 Broadway FL 23
New York, NY 10006-1452

Mailing address

165 Broadway FL 23
New York, NY 10006-1452

Other practice location 1

2 Coulter Rd Ste 1667
Clifton Springs, NY 14432-1122
Phone (585) 442-5320

Other practice location 2

101 Canal Landing Blvd
Rochester, NY 14626-5109
Phone (585) 293-7300

Other practice location 3

2365 S Clinton Ave Ste 100
Rochester, NY 14618-2663
Phone (585) 442-5320

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
I20211004000810 NY Practitioner - Nurse Practitioner 8123426301 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-5711

4 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 906-4059

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Aug 30, 2021 Accepting new patients
Rochester General Hospital CurrentSince Aug 30, 2021 Accepting new patients
Rochester General Hospital CurrentSince Aug 30, 2021 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Aug 30, 2021 Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

2 Coulter Rd
Ste 1660
Clifton Springs, NY 14432

2 Coulter Rd
Ste 1667
Clifton Springs, NY 14432

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

101 Canal Landing Blvd
Rochester, NY 14626
Phone (585) 239-7300

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

2365 S Clinton Ave
Ste 100
Rochester, NY 14618
Phone (585) 461-9500

Interoperability endpoints

  • Direct secure messaging: kstowell201642@direct.rochesterregional.org

Organizations & group practices 4

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 3

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": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1639786981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 BROADWAY FL 23",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 BROADWAY FL 23",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061452",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Coulter Rd Ste 1667",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321122",
            "country_code": "US",
            "telephone_number": "585-442-5320",
            "fax_number": "585-442-5526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Canal Landing Blvd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146265109",
            "country_code": "US",
            "telephone_number": "585-293-7300",
            "fax_number": "585-227-7723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2365 S Clinton Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146182663",
            "country_code": "US",
            "telephone_number": "585-442-5320",
            "fax_number": "585-442-5526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITBECK-DRAKE",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.