KIMBERLY A CAPONE CRNP
NPI 1174508063
Nurse Practitioner - Obstetrics & Gynecology in Frederick, MD
About Kimberly A Capone Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY A CAPONE CRNP (NPI 1174508063) is an individual obstetrics & gynecology provider in Frederick, Maryland, licensed in Maryland (R119420) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Maryland School Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Kimberly A Capone Crnp 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 Capone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fulton, MD 20759
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Capital Womens Care LLC
- 167 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
FREDERICK, MD 21702
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 Capone's NPI number?
The NPI number for Kimberly Capone is 1174508063. It was assigned to this individual provider in the NPPES registry on December 13, 2005.
Where is Kimberly Capone located?
Kimberly Capone practices at 61 Thomas Johnson Dr, Frederick, MD 21702. The listed phone number is (301) 663-6171.
What is Kimberly Capone's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.
Is Kimberly Capone enrolled in Medicare?
Yes. Kimberly Capone 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 Capone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Capone reassigns Medicare benefits to Capital Women's Care, L.L.C. (Fulton, MD). 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 Capone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Capone was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kimberly A Capone, CRNP · NPI 1174508063
Obstetrics & Gynecology physician in Frederick, Maryland. Individual provider, active in the CMS NPPES registry since December 13, 2005.
## Identity
- **NPI:** 1174508063 (Entity type: Individual)
- **Enumerated:** December 13, 2005
- **Primary specialty:** Nurse Practitioner - Obstetrics & Gynecology · taxonomy 363LX0001X
- **State license:** R119420 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 61 THOMAS JOHNSON DR, Frederick, MD 21702-4301
- **Phone:** (301) 663-6171 · **Fax:** (301) 695-5569
## 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:** Capital Women's Care, L.L.C. (NPI 1679534069, Fulton, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Maryland School Of Medicine, class of 1993
## Record status
- **NPPES last updated:** September 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1174508063) · Data from the CMS NPPES public registry.