Kimberly Marie West, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN129312 Issued in GA

Practice address

2040 Dan Proctor Dr Ste 120
Saint Marys, GA 31558-3812

Phone

(912) 576-6434

Fax

(912) 576-6487

NPI assigned

Dec 22, 2022

Last updated

Sep 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Merit-based Incentive Payment System (MIPS)

Final score

76.36 of 100Reported as group

Quality

46.72

Promoting interoperability

99

Improvement activities

40

Cost

75.31

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwest1@secure.sghsmessaging.org

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.

• Cooperative Healthcare Services Inc

  dba Southeast Georgia Physician Associates

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402
  Medicare reassignment NPD
• James D. Baker III, M.D., PA

  dba Nephrology Associates Of Northeast Florida

  • Nephrology Physician
  • Jacksonville, FL
  • NPI 1437182896
  NPD (past)

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1669184420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 DAN PROCTOR DR STE 120",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583812",
            "telephone_number": "912-576-6434",
            "fax_number": "912-576-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 DAN PROCTOR DR STE 120",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583812",
            "telephone_number": "912-576-6434",
            "fax_number": "912-576-6487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3217 4th St",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315203759",
            "country_code": "US",
            "telephone_number": "912-466-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN129312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delores Webster
• Wecare TLC - Twu Employee Family Clinic
• Brynn Angela Weithman
• Kaley Weldon, RBT
• Shanna Michele Welgraven, DO
• Patricia Jackson Whalen
• Christopher Edwards White, LMT
• Johnathan Dean White, PT, DPT
• Janise Hartzog Whitesell, M.D.
• Thomas Whitesell

• Nurse Practitioner in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.