MRS. KIMBERLY CARLY NICOLE STEVENSON FNP-BC
NPI 1053818450
Nurse Practitioner - Family in Scarbro, WV
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
Specialties & Licenses 2
Other Names 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Stevenson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pearisburg, VA 24134
- Reassigned Medicare billing, Virginia enrollment
- Also billed through NPI 1548706609 (Virginia), NPI 1043648611 (Virginia)
- 24 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 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, VALewisgale Hospital Pulaski
Acute Care Hospitals · Pulaski, VAPhysician 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.
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.
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.
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 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.
Where is Kimberly Stevenson located?
Kimberly Stevenson practices at 908 Scarbro Rd, Scarbro, WV 25917. The listed phone number is (304) 469-2905.
What is Kimberly Stevenson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Stevenson enrolled in Medicare?
Yes. Kimberly Stevenson 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 organization bills Medicare for Kimberly Stevenson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Stevenson reassigns Medicare benefits to Free Clinic Of The New River Valley Inc (Pearisburg, VA). The 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 Kimberly Stevenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kimberly Stevenson affiliated with any hospitals?
According to CMS data, Kimberly Stevenson is affiliated with Carilion New River Valley Medical Center and Lewisgale Hospital Pulaski.
When was this NPI record last updated?
The NPPES record for Kimberly Stevenson was last updated on March 10, 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.
# Mrs. Kimberly Carly Nicole Stevenson, FNP-BC · NPI 1053818450
Family physician in Scarbro, West Virginia. Individual provider, active in the CMS NPPES registry since April 11, 2018.
## Identity
- **NPI:** 1053818450 (Entity type: Individual)
- **Enumerated:** April 11, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024180856 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 908 SCARBRO RD, Scarbro, WV 25917-8837
- **Phone:** (304) 469-2905
## 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:** Free Clinic Of The New River Valley Inc (NPI 1306273149, Pearisburg, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1053818450) · Data from the CMS NPPES public registry.