KIMBERLY WESLEY
NPI 1174997712
Psychologist - Clinical in Burke, VA
About Kimberly Wesley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY WESLEY (NPI 1174997712) is an individual clinical provider in Burke, Virginia, licensed in Virginia (0810006210) and active in the NPI registry since November 2015. She has opted out of Medicare through July 1, 2028 and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kimberly Wesley has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2026 through July 1, 2028.
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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BURKE, VA 22015
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 Wesley's NPI number?
The NPI number for Kimberly Wesley is 1174997712. It was assigned to this individual provider in the NPPES registry on November 19, 2015.
Where is Kimberly Wesley located?
Kimberly Wesley practices at 5244 Lyngate Ct # 200, Burke, VA 22015. The listed phone number is (703) 910-2577.
What is Kimberly Wesley's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kimberly Wesley enrolled in Medicare?
No. Kimberly Wesley has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Kimberly Wesley accept?
Health plans from Providence Health Plan list Kimberly Wesley 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.
When was this NPI record last updated?
The NPPES record for Kimberly Wesley was last updated on June 15, 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 Wesley · NPI 1174997712
Clinical provider in Burke, Virginia. Individual provider, active in the CMS NPPES registry since November 19, 2015.
## Identity
- **NPI:** 1174997712 (Entity type: Individual)
- **Enumerated:** November 19, 2015
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 0810006210 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 5244 LYNGATE CT # 200, Burke, VA 22015-1631
- **Phone:** (703) 910-2577
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 1, 2028); services are provided under private contract
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** June 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1174997712) · Data from the CMS NPPES public registry.