Individual provider Active NPI

Kimberly Marie Hupp, NP-C

  • Family Nurse Practitioner
  • Saint Clairsville, OH
National Provider Identifier
1962832527
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.16351 Issued in OH
Practice address
67925 Banfield Rd
Saint Clairsville, OH 43950-9301
Phone
(740) 699-1000
Fax
(740) 699-1004
NPI assigned
Nov 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 APRN.CNP.16351 OH Primary

Addresses

Primary practice location

67925 Banfield Rd
Saint Clairsville, OH 43950-9301

Mailing address

67925 Banfield Rd
Saint Clairsville, OH 43950-9301
Phone (740) 699-1000

Other names 1

  • Kimberly Marie Boone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20171206001971 OH Practitioner - Nurse Practitioner 7113284746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

67925 Banfield Rd
Saint Clairsville, OH 43950-9541
Phone (740) 699-1000

Hospital & facility affiliations

  • Stonerise at Home Home health agency, Saint Clairsville, OH, CCN 367442
  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
  • Trinity Medical Ctr East &Trinity Medical Ctr West Hospital, Steubenville, OH, CCN 360211
  • Barnesville Hospital Association, Inc Hospital, Barnesville, OH, CCN 361321
  • Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Belmont Medical Care LLC CurrentSince Oct 18, 2017 Accepting new patients

Locations

67925 Banfield Rd
St Clairsvle, OH 43950
Phone (740) 695-5525

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962832527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67925 BANFIELD RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509301",
            "telephone_number": "740-699-1000",
            "fax_number": "740-699-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67925 BANFIELD RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509301",
            "telephone_number": "740-699-1000",
            "fax_number": "740-699-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUPP",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.16351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BOONE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Clairsville, OH

Sources for this page

Verify at the official NPI Registry.