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KIMBERLY A BUMBERA NURSE PRACTITIONER
NPI 1164085619
Nurse Practitioner - Gerontology in Plantsville, CT

Active since April 19, 2019PECOS EnrolledAccepts Medicare Assignment
187 MARION AVE, PLANTSVILLE, CT 06479(860) 919-9560 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2020, Apr 25, 2019, Apr 19, 2019 (3 updates tracked since 2019).

About Kimberly A Bumbera Nurse Practitioner NPPES

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

KIMBERLY A BUMBERA NURSE PRACTITIONER (NPI 1164085619) is an individual gerontology provider in Plantsville, Connecticut, licensed in Connecticut (8176) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Woonsocket, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164085619
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKIMBERLY A BUMBERACredential: NURSE PRACTITIONER
Location Address187 MARION AVEPlantsville, CT 06479-1442
Mailing Address187 Marion AvePlantsville, CT 06479-1442 · (860) 919-9560
Phone(860) 919-9560
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 19, 2019
Last NPPES UpdateOctober 16, 20253 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1164085619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CT · 8176
Also ListedRegistered Nurse · GerontologyTaxonomy 163WG0600X · License 89547 (CT)
187 MARION AVE, Plantsville, CT 06479
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Secondary Practice Location 1

Location 1560 Cumberland Hill RdWoonsocket, RI 02895-5635 · Phone (800) 411-6768

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

Kimberly A Bumbera Nurse Practitioner 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 ID8123361052
PECOS Enrollment IDI20190516002251, I20251024002128
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 6

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
222 services108 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
72 services45 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
19 services19 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
17 services15 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
11 services11 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06479 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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 Bumbera's NPI number?

The NPI number for Kimberly Bumbera is 1164085619. It was assigned to this individual provider in the NPPES registry on April 19, 2019.

Where is Kimberly Bumbera located?

Kimberly Bumbera practices at 187 Marion Ave, Plantsville, CT 06479. The listed phone number is (860) 919-9560.

What is Kimberly Bumbera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kimberly Bumbera enrolled in Medicare?

Yes. Kimberly Bumbera 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.

When was this NPI record last updated?

The NPPES record for Kimberly Bumbera was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.