KIMBERLY A JIVIDEN CNP
NPI 1205242369
Nurse Practitioner - Family in Elizabeth, WV

Q: What is Kimberly Jividen's NPI number?

The NPI number for Kimberly Jividen is 1205242369. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Q: What is Kimberly Jividen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Jividen was last updated on May 1, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 09, 2014PECOS EnrolledAccepts Medicare Assignment

483 COURT ST, ELIZABETH, WV 26143(304) 275-3301(304) 275-4798 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 1, 2018, Feb 15, 2017 (2 updates tracked since 2017).

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About Kimberly A Jividen Cnp NPPES

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

KIMBERLY A JIVIDEN CNP (NPI 1205242369) is an individual family provider in Elizabeth, West Virginia, licensed in Ohio (COA.16207-NP) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Camden Clark Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1205242369

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY A JIVIDENCredential: CNP

Location Address483 COURT STElizabeth, WV 26143-1109

Mailing AddressPo Box 609Elizabeth, WV 26143-0609 · (304) 275-3301 · Fax (304) 275-4798

Phone(304) 275-3301

Fax(304) 275-4798

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 9, 2014

Last NPPES UpdateMay 1, 20182 updates tracked since enumeration

✔ NPI 1205242369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in OH · COA.16207-NP✔ Licensed in WV · 58709

Also ListedRegistered NurseTaxonomy 163W00000X · License RN298807 (OH)

483 COURT ST, Elizabeth, WV 26143

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Other Identifiers 4

Medicaid3810029263WV

Medicaid0107154OH

OtherP01439933OH · Railroad Medicare - Mhcpi

Medicaid1205242369WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 Jividen Cnp 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 ID9830317650

PECOS Enrollment IDI20150812009151

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 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

337 services298 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

70 services68 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

48 services48 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

43 services42 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

24 services24 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510058

Location800 Garfield AveParkersburg, WV 26101 · Wood County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26143 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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 9

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

RUTH A FULL PA-C

Physician Assistant