Kimberly A Kosiavelon, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CNP191271 Issued in ME

Practice address

710 Main St
Lewiston, ME 04240

Phone

(207) 783-1449

Fax

(207) 777-3865

NPI assigned

Mar 10, 2020

Last updated

Mar 10, 2020By 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 ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nephrology

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nephrology Associates of Central MaineGroup PAC ID 1850332743, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central Maine Medical Center Hospital, Lewiston, ME, CCN 200024
• St Mary's Regional Medical Center Hospital, Lewiston, ME, CCN 200034
• Mainehealth Stephens Hospital Hospital, Norway, ME, CCN 201315
• Mainehealth Franklin Hospital Hospital, Farmington, ME, CCN 201316
• Rumford Hospital Hospital, Rumford, ME, CCN 201306

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nephrology Associates of Central Maine

  • Specialist
  • Lewiston, ME
  • NPI 1528085586
  Medicare reassignment Care Compare group NPD

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

• Central Maine Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1689653487
  Care Compare affiliation
• Mainehealth

  dba MaineHealth Stephens Hospital

  • Critical Access Hospital
  • Norway, ME
  • NPI 1346299815
  Care Compare affiliation
• Mainehealth

  dba MaineHealth Franklin Hospital

  • Critical Access Hospital
  • Farmington, ME
  • NPI 1922791417
  Care Compare affiliation
• Rumford Hospital

  • Critical Access Hospital
  • Rumford, ME
  • NPI 1205991122
  Care Compare affiliation
• St. Mary's Regional Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1447226584
  Care Compare affiliation

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1851926919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240",
            "telephone_number": "207-783-1449",
            "fax_number": "207-777-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240",
            "telephone_number": "207-783-1449",
            "fax_number": "207-777-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSIAVELON",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP191271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark W Kolasa, MD
• Evgeni Kontrient, M.D.
• Kevin Korenkiewicz, CRNA
• Kornerstone Employment
• Kornerstone Services
• Ashley Rene Kossick, M.S., CCC-SLP
• Ruth-Anne Kowalski
• Kevin Scott Kralik, MD
• Susan Kramer, SOL
• Susan Kravetz

• Nurse Practitioner in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.