DR. KERILYN WOODBRIDGE KIMBALL
NPI 1023559283
Military Health Care Provider in Portsmouth, VA
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 Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kerilyn Kimball reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newport News, VA 23607
- Reassigned Medicare billing, Virginia enrollment
- Medicare enrollment name: Riverside Physician Services Inc
- 1,097 clinicians in this Medicare group
Statesville, NC 28677
- Reassigned Medicare billing, North Carolina enrollment
- 580 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NCOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTSMOUTH, VA 23708
PORTSMOUTH, VA 23708
PORTSMOUTH, VA 23708
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.
Which organizations bill Medicare for Kerilyn Kimball's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kerilyn Kimball reassigns Medicare benefits to 2 organizations: Riverside Physcian Services Inc (Newport News, VA) and Wake Forest Emergency Providers (Statesville, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kerilyn Kimball's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Kerilyn Woodbridge Kimball · NPI 1023559283
Military Health Care Provider provider in Portsmouth, Virginia. Individual provider, active in the CMS NPPES registry since March 20, 2017.
## Identity
- **NPI:** 1023559283 (Entity type: Individual)
- **Enumerated:** March 20, 2017
- **Primary specialty:** Military Health Care Provider · taxonomy 171000000X
- **State license:** 20A16745 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 620 JOHN PAUL JONES CIR, Portsmouth, VA 23708-2111
- **Phone:** (860) 716-7630
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Riverside Physcian Services Inc (NPI 1326603952, Newport News, VA); Wake Forest Emergency Providers (NPI 1396216735, Statesville, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1023559283) · Data from the CMS NPPES public registry.