AMY L KILBURN CNP
NPI 1225461643
Nurse Practitioner in Portsmouth, OH

Active since August 21, 2013PECOS EnrolledAccepts Medicare Assignment
76.08/100
CMS Quality Rating
1611 27TH ST, PORTSMOUTH, OH 45662(740) 356-6836(740) 356-6803 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2022, Dec 22, 2020 (2 updates tracked since 2020).

About Amy L Kilburn Cnp NPPES

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

AMY L KILBURN CNP (NPI 1225461643) is an individual nurse practitioner in Portsmouth, Ohio, licensed in Ohio (COA.15059-NP) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Jc Edwards School Of Medicine, Marshall University (2013).

NPPES Registry Identity

NPI1225461643
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMY L KILBURNCredential: CNP
Location Address1611 27TH STPortsmouth, OH 45662-6931
Mailing Address1735 27th St Ste B06Portsmouth, OH 45662-2681 · (740) 356-8034 · Fax (740) 353-7900
Fax(740) 356-6803
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2013
Enumeration DateAugust 21, 2013
Last NPPES UpdateSeptember 29, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
NPI 1225461643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OH · COA.15059-NP
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1611 27TH ST, Portsmouth, OH 45662

Other Names 1

Former Name (1)Amy L Smith

Other Identifiers 2

Medicaid0089747OH
Medicaid7100341110KY

Accepted 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

Amy L Kilburn 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 ID3577707546
PECOS Enrollment IDI20130912000296
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 6

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.
264 services198 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
165 services136 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
158 services142 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
55 services49 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.
40 services35 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45662 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

76.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.17
Promoting Interoperability100
Improvement Activities40
Cost43.98

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.

Obstetrics & Gynecology
1611 27TH ST, BUILDING J SUITE 204
PORTSMOUTH, OH 45662
Family Medicine
1611 27TH ST, FULTON BUILDING SUITE 301
PORTSMOUTH, OH 45662
Internal Medicine
1611 27TH ST, FULTON BLDG. SUITE 101
PORTSMOUTH, OH 45662
Specialist
1611 27TH ST, BLDG. J, SUITE 202
PORTSMOUTH, OH 45662
Specialist
1611 27TH ST, BLDG. J. SUITE202
PORTSMOUTH, OH 45662
Urology (Pediatric Urology)
1611 27TH ST, BLDG. J, SUITE 102
PORTSMOUTH, OH 45662
Obstetrics & Gynecology
1611 27TH ST, SUITE 302
PORTSMOUTH, OH 45662
Otolaryngology
1611 27TH ST
PORTSMOUTH, OH 45662

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 Amy Kilburn's NPI number?

The NPI number for Amy Kilburn is 1225461643. It was assigned to this individual provider in the NPPES registry on August 21, 2013. The provider is also known as Amy L Smith.

Where is Amy Kilburn located?

Amy Kilburn practices at 1611 27th St, Portsmouth, OH 45662. The listed phone number is (740) 356-6836.

What is Amy Kilburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amy Kilburn enrolled in Medicare?

Yes. Amy Kilburn 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.

What insurance does Amy Kilburn accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list Amy Kilburn 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.

Is Amy Kilburn affiliated with any hospitals?

According to CMS data, Amy Kilburn is affiliated with King's Daughters' Medical Center and Southern Ohio Medical Center.

When was this NPI record last updated?

The NPPES record for Amy Kilburn was last updated on September 29, 2022. 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.