Laurel Susan Kibler, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP4754 Issued in AZ

Practice address

900 W Scott St
Willcox, AZ 85643-1017

Phone

(520) 384-4421

Fax

(520) 384-4645

NPI assigned

Nov 26, 2012

Last updated

Nov 26, 2012By 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 AZ

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Cochise Community Hospital IncGroup PAC ID 4981514288, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Health Safford, LLC Home health agency, Safford, AZ, CCN 037815
• Northern Cochise Community Hospital, Inc. Hospital, Willcox, AZ, CCN 031302
• Mt. Graham Regional Medical Center Hospital, Safford, AZ, CCN 031319
• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lkibler@ncch.ssdirect.aprima.com
• Direct secure messaging: lkibler@ssmc.gwaydirect.com

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.

• Northern Cochise Community Hospital Inc

  • Critical Access Hospital
  • Willcox, AZ
  • NPI 1013060367
  Medicare reassignment Care Compare group NPD

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

• Home Health Safford, LLC

  dba Choice Health at Home

  • Home Health Agency
  • Safford, AZ
  • NPI 1154915015
  Care Compare affiliation
• Mt Graham Regional Medical Center Inc

  • Critical Access Hospital
  • Safford, AZ
  • NPI 1275588345
  Care Compare affiliation
• Northern Cochise Community Hospital Inc

  • Critical Access Hospital
  • Willcox, AZ
  • NPI 1013060367
  Care Compare affiliation
• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Care Compare affiliation

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1972847374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WEST REX ALLEN DRIVE",
            "city": "WILLCOX",
            "state": "AZ",
            "postal_code": "85643",
            "telephone_number": "520-384-3541",
            "fax_number": "520-384-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W SCOTT ST",
            "city": "WILLCOX",
            "state": "AZ",
            "postal_code": "856431017",
            "telephone_number": "520-384-4421",
            "fax_number": "520-384-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBLER",
        "first_name": "LAUREL",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kenneth Hill, PHARMACIST
• Julie Anne Hilton, ACNP-BC,FNP-C
• Carol Hippenmeyer, MD
• Ashley Hunter, PTA
• Jeffery B Bushman DO PC
• Lazul Health PLLC
• Legacy Home Health Care
• Anthony Llewellyn, MD
• Dominic Roberto Martinez, D.C.
• Darci McInnes, SLPA

• Family Nurse Practitioner in Willcox, AZ
• Providers in Willcox, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.