Kimberly Carson, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11016021 Issued in FL

Practice address

200 SE Hospital Ave
Stuart, FL 34994-2346

Phone

(772) 287-5200

NPI assigned

Jun 2, 2021

Last updated

Jan 21, 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, FL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kure Mobile Medical LLCGroup PAC ID 1951780808, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Visiting Nurse Association of Florida Inc Home health agency, Stuart, FL, CCN 107177

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: kcarson2082894@direct.trinity-health.org
• Direct secure messaging: kcarson2496325@direct.ccf.org
• Direct secure messaging: kimberly.carson@wellmed.eclinicaldirectplus.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.

• Kure Mobile Medical

  • Family Nurse Practitioner
  • Jupiter, FL
  • NPI 1316680291
  Medicare reassignment Care Compare group NPD
• Chandler Hall Health Services, Inc

  • Family Medicine Physician
  • Newtown, PA
  • NPI 1336189935
  Medicare reassignment NPD
• Chandler Hall Health Services, Inc.

  • Inpatient Hospice
  • Newtown, PA
  • NPI 1629018841
  NPD
• Euclid Hospital Cleveland Clinic Health System

  dba cleveland clinic foundation

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• Nazareth Physician Services, Inc

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1215452982
  NPD (past)

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

• Visiting Nurse Association of Florida Inc

  • Home Health Agency
  • Stuart, FL
  • NPI 1104829696
  Care Compare affiliation

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674259200000",
    "number": "1982270674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 OCELOT WAY",
            "city": "HUTCHINSON ISLAND",
            "state": "FL",
            "postal_code": "349498884",
            "telephone_number": "215-669-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SE HOSPITAL AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942346",
            "telephone_number": "772-287-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Barclay St",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189401593",
            "country_code": "US",
            "telephone_number": "267-291-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSON",
        "first_name": "KIMBERLY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2023-01-21",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP023782",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11016021",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP023782",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11016021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Allyn Carrizal, MD
• Audrey Carroll
• Brayden Carroll, RBT
• Sharnita T Carroll, RBT
• Kayla Carson
• Abbagail Carter
• Addie Carter
• Andrea Ellen Carter, O.D.
• Andrew Charles Carter, RBT
• Briana Carter

• Nurse Practitioner in Stuart, FL
• Providers in Stuart, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.