1. Home
  2. Directory
  3. Virginia
  4. Portsmouth
  5. Military Health Care Provider
  6. NPI Profile

DR. KERILYN WOODBRIDGE KIMBALL
NPI 1023559283
Military Health Care Provider in Portsmouth, VA

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(860) 716-7630 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2021, Mar 20, 2017 (2 updates tracked since 2017).

About Dr. Kerilyn Woodbridge Kimball NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KERILYN WOODBRIDGE KIMBALL (NPI 1023559283) is an individual military health care provider provider in Portsmouth, Virginia, licensed in California (20A16745) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Catawba Valley Medical Center, and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2017).

NPPES Registry Identity

NPI1023559283
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameDR. KERILYN WOODBRIDGE KIMBALL
Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111
Mailing Address620 John Paul Jones CirPortsmouth, VA 23708-2111
Phone(860) 716-7630
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2017
Enumeration DateMarch 20, 2017
Last NPPES UpdateSeptember 17, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2021
✔ NPI 1023559283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License✔ Licensed in CA · 20A16745
Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
620 JOHN PAUL JONES CIR, Portsmouth, VA 23708
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kerilyn Woodbridge Kimball is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123458734
PECOS Enrollment IDI20250829001479
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Catawba Valley Medical Center

Acute Care Hospitals · Hickory, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340143
Location810 Fairgrove Church RdHickory, NC 28602 · Catawba County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEREDITH TVERDOSI CRNA
Nurse Anesthetist, Certified Registered
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-3238
ERIC FRANCIS SULAVA
Emergency Medicine
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
MRS. TIFFNY KUPER RHH
Dental Hygienist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2711
DR. LAKEISHA GOODE PHARMD
Pharmacist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7462
JASMINE WOOD MD
Surgery
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-1895
NICHOLAS FANSELOW
General Practice
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
DR. DAVID JESSEN MD
Military Health Care Provider
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2518
MRS. WILLAR MAE BAUM L.C.S.W.
Social Worker (Clinical)
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-9767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerilyn Kimball's NPI number?

The NPI number for Kerilyn Kimball is 1023559283. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Kerilyn Kimball located?

Kerilyn Kimball practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (860) 716-7630.

What is Kerilyn Kimball's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Is Kerilyn Kimball enrolled in Medicare?

Yes. Kerilyn Kimball is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kerilyn Kimball affiliated with any hospitals?

According to CMS data, Kerilyn Kimball is affiliated with Catawba Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Kerilyn Kimball was last updated on September 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.