MRS. KIMBERLY CARLY NICOLE STEVENSON FNP-BC
NPI 1053818450
Nurse Practitioner - Family in Scarbro, WV

Q: What is Kimberly Stevenson's NPI number?

The NPI number for Kimberly Stevenson is 1053818450. It was assigned to this individual provider in the NPPES registry on April 11, 2018. The provider is also known as Kimberly Carly Nicole Hurt.

Q: What is Kimberly Stevenson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since April 11, 2018PECOS EnrolledAccepts Medicare Assignment

908 SCARBRO RD, SCARBRO, WV 25917(304) 469-2905 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2021, Feb 10, 2021, Jan 28, 2021 and 1 more (4 updates tracked since 2018).

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About Mrs. Kimberly Carly Nicole Stevenson Fnp-bc NPPES

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

MRS. KIMBERLY CARLY NICOLE STEVENSON FNP-BC (NPI 1053818450) is an individual family provider in Scarbro, West Virginia, licensed in Virginia (0024180856) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Carilion New River Valley Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053818450

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KIMBERLY CARLY NICOLE STEVENSONCredential: FNP-BC

Location Address908 SCARBRO RDScarbro, WV 25917-8837

Mailing Address908 Scarbro RdScarbro, WV 25917-8837 · (304) 469-2905

Phone(304) 469-2905

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 11, 2018

Last NPPES UpdateMarch 10, 20214 updates tracked since enumeration

NPPES CertifiedMarch 10, 2021

✔ NPI 1053818450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in VA · 0024180856✔ Licensed in WV · 108428

Also ListedRegistered NurseTaxonomy 163W00000X · License 97400 (WV), 467275 (OH)

908 SCARBRO RD, Scarbro, WV 25917

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Other Names 1

Former Name (1)Kimberly Carly Nicole Hurt

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

Mrs. Kimberly Carly Nicole Stevenson Fnp-bc 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 ID1355758954

PECOS Enrollment IDI20210326001593, I20230210001484

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 2

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

Carilion New River Valley Medical Center

Acute Care Hospitals · Christiansburg, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490042

Location2900 Lamb CircleChristiansburg, VA 24073 · Montgomery County

Emergency services Birthing friendly

Lewisgale Hospital Pulaski

Acute Care Hospitals · Pulaski, VA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number490116

Location2400 Lee HighwayPulaski, VA 24301 · Pulaski County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25917 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims990 services$0.05 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

1 supplier11 claims11 services$15.79 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

MARY R POWELL LICSW

Social Worker

908 SCARBRO RD, NEW RIVER HEALTH - SCARBRO
SCARBRO, WV 25917

Fayette County (304) 469-2905

MS. SAVANNA JAYNE BABCOCK LICSW

Social Worker (Clinical)