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MRS. KIMBERLY SUE-HICKS DONZE RN/NP
NPI 1154675866
Nurse Practitioner - Family in Carthage, NC

Active since November 02, 2012PECOS EnrolledAccepts Medicare Assignment
88.68/100
CMS Quality Rating
304 E SAUNDERS ST, CARTHAGE, NC 28327(109) 473-0009(910) 947-3035 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Kimberly Sue-hicks Donze Rn/np NPPES

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

MRS. KIMBERLY SUE-HICKS DONZE RN/NP (NPI 1154675866) is an individual family provider in Carthage, North Carolina, licensed in North Carolina (5011848) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1154675866
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KIMBERLY SUE-HICKS DONZECredential: RN/NP
Location Address304 E SAUNDERS STCarthage, NC 28327-9343
Mailing AddressPo Box 40Southbridge, MA 01550-0040 · (508) 909-7799
Phone(109) 473-0009
Fax(910) 947-3035
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 2, 2012
Last NPPES UpdateJune 25, 2020
NPPES CertifiedJune 25, 2020
✔ NPI 1154675866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NC · 5011848✔ Licensed in MA · RN261013
304 E SAUNDERS ST, Carthage, NC 28327
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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 Sue-hicks Donze Rn/np 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 ID5991959439
PECOS Enrollment IDI20190723000946
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
218 services93 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
187 services84 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services32 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
37 services37 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
17 services12 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28327 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.59
Promoting Interoperability96
Improvement Activities40
Cost84.03

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 Donze's NPI number?

The NPI number for Kimberly Donze is 1154675866. It was assigned to this individual provider in the NPPES registry on November 2, 2012.

Where is Kimberly Donze located?

Kimberly Donze practices at 304 E Saunders St, Carthage, NC 28327. The listed phone number is (109) 473-0009.

What is Kimberly Donze's specialty?

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

Is Kimberly Donze enrolled in Medicare?

Yes. Kimberly Donze 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.

What insurance does Kimberly Donze accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Kimberly Donze as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kimberly Donze affiliated with any hospitals?

According to CMS data, Kimberly Donze is affiliated with Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Donze was last updated on June 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.