KIMBERLY RAE LAURINE FNP-C
NPI 1417595968
Nurse Practitioner - Family in Rockville, MD
About Kimberly Rae Laurine Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY RAE LAURINE FNP-C (NPI 1417595968) is an individual family provider in Rockville, Maryland, licensed in Maryland (R203998) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Adventist Healthcare Shady Grove Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Kimberly Rae Laurine Fnp-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Laurine reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gaithersburg, MD 20878
- Reassigned Medicare billing, District of Columbia enrollment
- 340 clinicians in this Medicare group
Bethesda, MD 20817
- Reassigned Medicare billing, District of Columbia enrollment
- 9 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventist Healthcare Shady Grove Medical Center
Acute Care Hospitals · Rockville, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROCKVILLE, MD 20850
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 Laurine's NPI number?
The NPI number for Kimberly Laurine is 1417595968. It was assigned to this individual provider in the NPPES registry on December 16, 2019.
Where is Kimberly Laurine located?
Kimberly Laurine practices at 9901 Medical Center Dr, Rockville, MD 20850. The listed phone number is (240) 826-6396.
What is Kimberly Laurine's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Laurine enrolled in Medicare?
Yes. Kimberly Laurine 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 Kimberly Laurine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Laurine reassigns Medicare benefits to 2 organizations: Adventist Physician Services, Inc. (Gaithersburg, MD) and Mid-Atlantic Epilepsy & Sleep Center LLC (Bethesda, MD). 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 Laurine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kimberly Laurine affiliated with any hospitals?
According to CMS data, Kimberly Laurine is affiliated with Adventist Healthcare Shady Grove Medical Center.
When was this NPI record last updated?
The NPPES record for Kimberly Laurine was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kimberly Rae Laurine, FNP-C · NPI 1417595968
Family physician in Rockville, Maryland. Individual provider, active in the CMS NPPES registry since December 16, 2019.
## Identity
- **NPI:** 1417595968 (Entity type: Individual)
- **Enumerated:** December 16, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R203998 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 9901 MEDICAL CENTER DR, Rockville, MD 20850-3357
- **Phone:** (240) 826-6396
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Adventist Physician Services, Inc. (NPI 1376623207, Gaithersburg, MD); Mid-Atlantic Epilepsy & Sleep Center LLC (NPI 1528824836, Bethesda, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** December 16, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1417595968) · Data from the CMS NPPES public registry.