KIMBERLY ANN MCDONOUGH ANCP-BC
NPI 1164861175
Nurse Practitioner - Acute Care in Warwick, RI

Active since June 24, 2013PECOS EnrolledAccepts Medicare Assignment
455 TOLL GATE RD, WARWICK, RI 02886(401) 737-7000 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kimberly Ann Mcdonough Ancp-bc NPPES

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

KIMBERLY ANN MCDONOUGH ANCP-BC (NPI 1164861175) is an individual acute care provider in Warwick, Rhode Island, licensed in Rhode Island (37760) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1164861175
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKIMBERLY ANN MCDONOUGHCredential: ANCP-BC
Location Address455 TOLL GATE RDWarwick, RI 02886-2759
Mailing Address455 Toll Gate RdWarwick, RI 02886-2759
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 24, 2013
Last NPPES UpdateMay 7, 2015
✔ NPI 1164861175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in RI · 37760
455 TOLL GATE RD, Warwick, RI 02886

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 Ann Mcdonough Ancp-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 ID6204068083
PECOS Enrollment IDI20140409001453
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
64 services63 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
46 services45 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Nurse Practitioner (Adult Health)
455 TOLL GATE RD
WARWICK, RI 02886
Nurse Practitioner (Family)
455 TOLL GATE RD
WARWICK, RI 02886
Emergency Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Family Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Emergency Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Internal Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Anesthesiology
455 TOLL GATE RD
WARWICK, RI 02886

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 Mcdonough's NPI number?

The NPI number for Kimberly Mcdonough is 1164861175. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Where is Kimberly Mcdonough located?

Kimberly Mcdonough practices at 455 Toll Gate Rd, Warwick, RI 02886. The listed phone number is (401) 737-7000.

What is Kimberly Mcdonough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kimberly Mcdonough enrolled in Medicare?

Yes. Kimberly Mcdonough 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.

Is Kimberly Mcdonough affiliated with any hospitals?

According to CMS data, Kimberly Mcdonough is affiliated with Kent County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Mcdonough was last updated on May 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.