KIMBERLY A CAPONE CRNP
NPI 1174508063
Nurse Practitioner - Obstetrics & Gynecology in Frederick, MD

Active since December 13, 2005PECOS EnrolledAccepts Medicare Assignment
52.15/100
CMS Quality Rating
61 THOMAS JOHNSON DR, FREDERICK, MD 21702(301) 663-6171(301) 695-5569 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2021, Sep 27, 2018, Jan 17, 2017 (3 updates tracked since 2017).

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

NPI1174508063
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameKIMBERLY A CAPONECredential: CRNP
Location Address61 THOMAS JOHNSON DRFrederick, MD 21702-4301
Mailing Address8110 Maple Lawn Blvd Ste 235Fulton, MD 20759-2694 · (301) 340-8339 · Fax (013) 409-0273
Fax(301) 695-5569
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1993
Enumeration DateDecember 13, 2005
Last NPPES UpdateSeptember 21, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2023
NPI 1174508063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License Licensed in MD · R119420
61 THOMAS JOHNSON DR, Frederick, MD 21702

Secondary Practice Locations 2

Location 1504 E Ridgeville Blvd Ste AMount Airy, MD 21771-5942 · Phone (301) 663-6171 · Fax (301) 663-6257
Location 23430 Worthington Blvd Ste 202Urbana, MD 21704-7019 · Phone (240) 699-0003 · Fax (240) 699-0017

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 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.

PECOS PAC ID3173605755
PECOS Enrollment IDI20080211000509
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.

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.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

52.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality14.28
Promoting Interoperability67
Improvement Activities40
Cost53.74

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.

Obstetrics & Gynecology
61 THOMAS JOHNSON DR
FREDERICK, MD 21702
Obstetrics & Gynecology
61 THOMAS JOHNSON DR
FREDERICK, MD 21702
Clinic/Center (Ambulatory Surgical)
61 THOMAS JOHNSON DR
FREDERICK, MD 21702
Obstetrics & Gynecology
61 THOMAS JOHNSON DR
FREDERICK, MD 21702
Obstetrics & Gynecology
61 THOMAS JOHNSON DR
FREDERICK, MD 21702
Registered Nurse
61 THOMAS JOHNSON DR
FREDERICK, MD 21702
Obstetrics & Gynecology
61 THOMAS JOHNSON DR
FREDERICK, MD 21702
Obstetrics & Gynecology
61 THOMAS JOHNSON DR
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.

When was this NPI record last updated?

The NPPES record for Kimberly Capone was last updated on September 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.