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KIMBERLY DAWN PHILLIPS FNP-BC
NPI 1396855177
Nurse Practitioner - Family in South Charleston, WV

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
500 POPLAR ST STE 204, SOUTH CHARLESTON, WV 25309(304) 414-2895(304) 414-2898 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Apr 22, 2022, Dec 8, 2017 (2 updates tracked since 2017).

About Kimberly Dawn Phillips Fnp-bc NPPES

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

KIMBERLY DAWN PHILLIPS FNP-BC (NPI 1396855177) is an individual family provider in South Charleston, West Virginia, licensed in West Virginia (54281) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396855177
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY DAWN PHILLIPSCredential: FNP-BC
Location Address500 POPLAR ST STE 204South Charleston, WV 25309-1472
Mailing Address4605 Maccorkle Ave SwSouth Charleston, WV 25309-1311 · (304) 414-4800 · Fax (304) 414-4801
Phone(304) 414-2895
Fax(304) 414-2898
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 30, 2006
Last NPPES UpdateApril 22, 20222 updates tracked since enumeration
NPPES CertifiedApril 22, 2022
✔ NPI 1396855177 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
License✔ Licensed in WV · 54281
500 POPLAR ST STE 204, South Charleston, WV 25309
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1333 Laidley St Fl 4ECharleston, WV 25301-1614 · Phone (304) 766-4560 · Fax (304) 766-4599
Location 2333 Laidley St Fl 4WCharleston, WV 25301-1614 · Phone (304) 766-4560 · Fax (304) 766-4599

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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 Dawn Phillips Fnp-bc 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 ID1951408491
PECOS Enrollment IDI20070518000000
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 3

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.
87 services55 patients
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.
28 services23 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.
23 services17 patients

Hospital Affiliations CMS Care Compare

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

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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.

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

MRS. ASHLEY EBERSOLE MELLERT PA-C
Physician Assistant
500 POPLAR ST STE 204
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 414-2895

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 Phillips's NPI number?

The NPI number for Kimberly Phillips is 1396855177. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Kimberly Phillips located?

Kimberly Phillips practices at 500 Poplar St Ste 204, South Charleston, WV 25309. The listed phone number is (304) 414-2895.

What is Kimberly Phillips's specialty?

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

Is Kimberly Phillips enrolled in Medicare?

Yes. Kimberly Phillips 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 Kimberly Phillips accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Kimberly Phillips 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 Kimberly Phillips affiliated with any hospitals?

According to CMS data, Kimberly Phillips is affiliated with Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Phillips was last updated on April 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.