ELIZABETH NYAWIRA KIMANI FNP
NPI 1255913489
Nurse Practitioner - Family in Herkimer, NY

Active since April 27, 2021PECOS EnrolledAccepts Medicare Assignment
321 E ALBANY ST, HERKIMER, NY 13350(315) 867-2700(315) 867-2717 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 2, 2022, Apr 27, 2021 (2 updates tracked since 2021).

About Elizabeth Nyawira Kimani Fnp NPPES

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

ELIZABETH NYAWIRA KIMANI FNP (NPI 1255913489) is an individual family provider in Herkimer, New York, licensed in New York (351044) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Bassett Healthcare, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1255913489
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH NYAWIRA KIMANICredential: FNP
Location Address321 E ALBANY STHerkimer, NY 13350-2016
Mailing Address1 Atwell RdCooperstown, NY 13326-1301 · (607) 547-3456 · Fax (607) 547-5196
Fax(315) 867-2717
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 27, 2021
Last NPPES UpdateDecember 19, 20232 updates tracked since enumeration
NPPES CertifiedDecember 19, 2023
✔ NPI 1255913489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · 351044✔ Licensed in TX · 1035170
321 E ALBANY ST, Herkimer, NY 13350

Accepted Insurance

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

Elizabeth Nyawira Kimani Fnp 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 ID8527458355
PECOS Enrollment IDI20231221000161
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Elizabeth Kimani reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1 ATWELL RD
Cooperstown, NY 13326
  • Reassigned Medicare billing, New York enrollment
  • 1,052 clinicians in this Medicare group
Urgent Care
3195 DOWLEN RD STE 105
Beaumont, TX 77706
  • Reassigned Medicare billing, Texas enrollment
  • 351 clinicians in this Medicare group
Family Medicine
3919 FRY RD
Katy, TX 77449
  • Reassigned Medicare billing, Texas enrollment
  • 15 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.

Areas of Expertise CMS Part B claims 2

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.
111 services100 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.
86 services82 patients

Hospital Affiliations CMS Care Compare

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

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330136
LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13350 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

Physician Assistant
321 E ALBANY ST
HERKIMER, NY 13350
Family Medicine
321 E ALBANY ST
HERKIMER, NY 13350
Pediatrics
321 E ALBANY ST
HERKIMER, NY 13350
Family Medicine
321 E ALBANY ST
HERKIMER, NY 13350
Nurse Practitioner (Family)
321 E ALBANY ST
HERKIMER, NY 13350
Physician Assistant
321 E ALBANY ST
HERKIMER, NY 13350
Physician Assistant
321 E ALBANY ST
HERKIMER, NY 13350
Physician Assistant
321 E ALBANY ST
HERKIMER, NY 13350

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 Elizabeth Kimani's NPI number?

The NPI number for Elizabeth Kimani is 1255913489. It was assigned to this individual provider in the NPPES registry on April 27, 2021.

Where is Elizabeth Kimani located?

Elizabeth Kimani practices at 321 E Albany St, Herkimer, NY 13350. The listed phone number is (315) 867-2700.

What is Elizabeth Kimani's specialty?

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

Is Elizabeth Kimani enrolled in Medicare?

Yes. Elizabeth Kimani 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 organizations bill Medicare for Elizabeth Kimani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Kimani reassigns Medicare benefits to 3 organizations: Mary Imogene Bassett Hospital (Cooperstown, NY), Doctors Express Of The Beaumont Area PA (Beaumont, TX) and Family Care Plus Clinic, PA (Katy, TX). Each 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 Elizabeth Kimani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Kimani accept?

Health plans from Blue Cross and Blue Shield of Texas list Elizabeth Kimani 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 Elizabeth Kimani affiliated with any hospitals?

According to CMS data, Elizabeth Kimani is affiliated with Bassett Healthcare.

When was this NPI record last updated?

The NPPES record for Elizabeth Kimani was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.