Kimberly A. Brumfield, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.16970 Issued in OH

Practice address

995 Jackson Pike Ste 102
Gallipolis, OH 45631-2621

Phone

(740) 578-4824

Fax

(740) 578-4821

NPI assigned

Jan 12, 2015

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Anchored Wellness & Recovery

  • Addiction Medicine (Family Medicine) Physician
  • Parkersburg, WV
  • NPI 1578238143

  WV

  Medicare reassignment NPD Authorized official
• St. Joseph Recovery Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Parkersburg, WV
  • NPI 1174021406

  WV

  Medicare reassignment NPD
• Beirne Psychiatric & Wellness LLC

  • Prescribing (Medical) Psychologist
  • Summersville, WV
  • NPI 1073286332
  NPD (past)

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1972992196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 JACKSON PIKE STE 102",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456312621",
            "telephone_number": "740-578-4824",
            "fax_number": "740-578-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 JACKSON PIKE STE 102",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456312621",
            "telephone_number": "740-578-4824",
            "fax_number": "740-578-4821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 E Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Pomeroy",
            "state": "OH",
            "postal_code": "457699569",
            "country_code": "US",
            "telephone_number": "855-446-5937",
            "fax_number": "740-992-5761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUMFIELD",
        "first_name": "KIMBERLY",
        "middle_name": "A.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.16970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810028618",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118790",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Todd Breyfogle, CDCA
• Penny Brown, PT
• Reid C. Brubaker, M.D.
• Amanda Brumfield
• Karen Kay Brumfield
• Connnie Sue Brushart, COTA
• Courtney Buck
• Justin Bull
• Amanda Bullock
• Marina D. Burgess, FNP-C

• All providers in Gallipolis, OH
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.