Emily Dawn Kimball, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

SP023331 Issued in PA

Practice address

4815 Liberty Ave Ste GR25
Pittsburgh, PA 15224-2156

Phone

(855) 281-4963

NPI assigned

Feb 24, 2021

Last updated

Mar 24, 2023By the provider in NPPES

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 names 1

• Emily Dawn Lane Former name

Medicare fee-for-service enrollment

Enrolled in PA

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090
• Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050

Merit-based Incentive Payment System (MIPS)

Final score

93.9 of 100Reported as apm

Quality

85.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elane377341@direct.ahn.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.

• Allegheny Clinic

  dba AHN-Primary Care Bethel Park

  • Family Medicine Physician
  • Bethel Park, PA
  • NPI 1073081493

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Allegheny Clinic

  dba AHN Primary Care Mobile Clinic

  • Primary Care Clinic/Center
  • Pittsburgh, PA
  • NPI 1215752548
  NPD
• Allegheny Clinic

  dba Seasons OBGYN

  • Obstetrics & Gynecology Physician
  • Pittsburgh, PA
  • NPI 1356777908
  NPD

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

• West Penn Allegheny Health System Inc

  dba The Western Pennsylvania Hospital

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1194744805
  Care Compare affiliation
• West Penn Allegheny Health System Inc.

  dba Allegheny General Hospital

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1285667493
  Care Compare affiliation
• West Penn Allegheny Health System Inc.

  dba Allegheny General Hospital - OP Psych

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pittsburgh, PA
  • NPI 1295857530

  Hospital

  Care Compare affiliation
• West Penn Allegheny Health System Inc.

  dba The Western Pennsylvania Hospital

  • Oncology Clinic/Center
  • Pittsburgh, PA
  • NPI 1346489143

  Hospital

  Care Compare affiliation
• West Penn Allegheny Health System Inc.

  dba Allegheny General Hospital - Life Flight

  • Air Ambulance
  • Pittsburgh, PA
  • NPI 1821110172

  Hospital

  Care Compare affiliation
• West Penn Allegheny Health System Inc.

  dba Allegheny General Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pittsburgh, PA
  • NPI 1912029265

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1801480314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE GR25",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "855-281-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE GR25",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "855-281-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "EMILY",
        "middle_name": "DAWN",
        "credential": "WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP023331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "LANE",
            "middle_name": "DAWN",
            "credential": "WHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Valdemir Kim, MD
• Victoria Mi Kim, M.D.
• Yeon Joo Kim, MD, PHD
• Aimee Kimball, PHD
• Allison Kimball
• Klein Kimball
• Samantha Kimball, LPC
• Sarah Kimball, PHARM.D
• Nazila Kimberley
• Kimberly Kiesling LLC

• Women's Health Nurse Practitioner in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Women's Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.