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MISS KIMBERLY ANN STACK AGPCNP-BC
NPI 1316744287
Nurse Practitioner - Gerontology in Toms River, NJ

Active since February 27, 2025PECOS Enrolled
277 NJ - 70, TOMS RIVER, NJ 08755(212) 516-2300 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2025, Feb 27, 2025 (2 updates tracked since 2025).

About Miss Kimberly Ann Stack Agpcnp-bc NPPES

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

MISS KIMBERLY ANN STACK AGPCNP-BC (NPI 1316744287) is an individual gerontology provider in Toms River, New Jersey, licensed in New Jersey (26NJ15212300) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316744287
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMISS KIMBERLY ANN STACKCredential: AGPCNP-BC
Location Address277 NJ - 70Toms River, NJ 08755
Mailing Address346 Kingsland AveLyndhurst, NJ 07071-2734 · (201) 394-4266
Phone(212) 516-2300
Sole ProprietorYes
Enumeration DateFebruary 27, 2025
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1316744287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NJ · 26NJ15212300
Also ListedSpecialist/Technologist, OtherTaxonomy 246Z00000X · License 26NJ15212300 (NJ)
277 NJ - 70, Toms River, NJ 08755
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Kimberly Ann Stack Agpcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Kimberly Stack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Promed Preferred Nj P.C.
Same address
Internal Medicine
277 ROUTE 70 STE 231
Toms River, NJ 08755
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Promed Preferred Nj, PC
  • 18 clinicians in this Medicare group
NPI 1578327722 (844) 776-6332
Bastidas Plastic Surgery, PC
61 mi
Plastic Surgery
599 BROADWAY, UNIT 1A
Paterson, NJ 07514
  • Reassigned Medicare billing, New Jersey enrollment
  • 19 clinicians in this Medicare group
NPI 1053724674 (610) 442-0992

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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 Stack's NPI number?

The NPI number for Kimberly Stack is 1316744287. It was assigned to this individual provider in the NPPES registry on February 27, 2025.

Where is Kimberly Stack located?

Kimberly Stack practices at 277 Nj - 70, Toms River, NJ 08755. The listed phone number is (212) 516-2300.

What is Kimberly Stack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kimberly Stack enrolled in Medicare?

Yes. Kimberly Stack is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Stack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Stack reassigns Medicare benefits to 2 organizations: Promed Preferred Nj P.C. (Toms River, NJ) and Bastidas Plastic Surgery, PC (Paterson, NJ). 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 Kimberly Stack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Stack was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.