NPIMap

Individual provider Active NPI

Kimberly Koerner, APRN, RN

  • Nurse Practitioner
  • Reno, NV
National Provider Identifier
1992936272
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN001162 Issued in NV
Practice address
9990 Double R Blvd Ste 200
Reno, NV 89521-4833
Phone
(775) 348-8800
Fax
(775) 348-8818
NPI assigned
Aug 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN001162 NV Primary

Addresses

Primary practice location

9990 Double R Blvd Ste 200
Reno, NV 89521-4833

Mailing address

5310 Kietzke LN Ste 104
Reno, NV 89511-2043
Phone (775) 348-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100107000255 NV Practitioner - Nurse Practitioner 7517008998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James J Lynch M D LTDGroup PAC ID 9133188626, 81 clinicians

Practice addresses (Care Compare)

780 Vista Blvd
Suite 100
Sparks, NV 89434-6677
Phone (775) 348-8800

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019
  • Humboldt General Hospital Hospital, Winnemucca, NV, CCN 291308
  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
  • Banner Lassen Medical Center Hospital, Susanville, CA, CCN 051320

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
93.48
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN001162NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
James J Lynch MD LTD CurrentSince Sep 1, 2016 Accepting new patients
James J Lynch M D LTD CurrentSince Sep 1, 2016 Accepting new patients
St. Mary'S Community Hospital Past Accepting new patients

Locations

1749 N Stewart St
Ste 50
Carson City, NV 89706
Phone (775) 392-3689

973 Mica Dr
Ste 201
Carson City, NV 89705
Phone (702) 884-5470

2874 N Carson St
Ste 105
Carson City, NV 89706
Phone (775) 283-3321

1470 Medical Pkwy
Ste 220
Carson City, NV 89703

10381 Double R Blvd
Reno, NV 89521
Phone (775) 322-1200

5310 Kietzke Ln
Ste 104
Reno, NV 89511

9990 Double R Blvd
Ste 200
Reno, NV 89521
Phone (753) 488-8008

825 S Meadows Pkwy
Ste 102
Reno, NV 89521

1465 S Meadows Pkwy
Reno, NV 89521
Phone (775) 348-8885

9480 Double Diamond Pkwy
Ste 200
Reno, NV 89521
Phone (775) 348-8000

10539 Professional Cir
Ste 201
Reno, NV 89521
Phone (775) 674-5632

7700 Rancharrah Pkwy
Ste 100
Reno, NV 89511

595 Mount Rose St
Reno, NV 89509
Phone (775) 323-3660

780 Vista Blvd
Ste 100
Sparks, NV 89434
Phone (753) 348-8800

780 Vista Blvd
Ste 101
Sparks, NV 89434

Interoperability endpoints

  • Direct secure messaging: kimberly.koerner.1@22724.direct.athenahealth.com

Organizations & group practices 3

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 12

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": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1992936272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 KIETZKE LN STE 104",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112043",
            "telephone_number": "775-348-8800",
            "fax_number": "775-786-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9990 DOUBLE R BLVD STE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214833",
            "telephone_number": "775-348-8800",
            "fax_number": "775-348-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOERNER",
        "first_name": "KIMBERLY",
        "credential": "APRN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.