Active NPI
Kimberly Marie St. Jean, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Harrisonburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 0101253971
- Practice address
- 1931 Medical Ave
Harrisonburg, VA 22801-3437 - Phone
- (540) 564-5600
- Fax
- (540) 564-5601
- NPI assigned
- Apr 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 0101253971 | VA | Primary |
Addresses
Primary practice location
1931 Medical Ave
Harrisonburg, VA 22801-3437
Mailing address
PO Box 79777
Baltimore, MD 21279-0777
Phone (757) 252-2900
Other practice location 1
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1931 Medical Ave
Harrisonburg, VA 22801-3437
Phone (540) 564-5400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101253971 | VA | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RMH Medical Group LLC | Current | Accepting new patients | |
| RMH Medical Group LLC | Current | Accepting new patients | |
| Martha Jefferson Medical Group LLC | Current | Accepting new patients |
Locations
500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000
1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760
1931 Medical Ave
Harrisonburg, VA 22801
Phone (540) 564-5400
136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104
2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000
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 and National Provider Directory roles.
-
- General Practice Physician
- Rockingham, VA
- NPI 1669844908
-
- Family Medicine Physician
- Charlottesville, VA
- NPI 1275720559
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
- Customized Equipment (DME)
- Harrisonburg, VA
- NPI 1043238967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1780909531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 79777",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212790777",
"telephone_number": "757-252-2900",
"fax_number": "757-252-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 MEDICAL AVE",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228013437",
"telephone_number": "540-564-5600",
"fax_number": "540-564-5601"
}
],
"practiceLocations": [
{
"address_1": "500 Martha Jefferson Dr",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229114668",
"country_code": "US",
"telephone_number": "434-654-7580",
"fax_number": "434-654-7582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ST. JEAN",
"first_name": "KIMBERLY",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-05",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "VA",
"license": "0101253971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisonburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.