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KIMBERLY A BAUTISTA RN
NPI 1598355307
Nurse Practitioner - Family in Boston, MA

Active since January 25, 2021PECOS Enrolled
801 MASSACHUSETTS AVE, SUITE 6C, BOSTON, MA 02118(617) 414-5951(617) 414-9201 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2023, Mar 10, 2023, Jan 20, 2023 and 1 more (4 updates tracked since 2021).

About Kimberly A Bautista Rn NPPES

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

KIMBERLY A BAUTISTA RN (NPI 1598355307) is an individual family provider in Boston, Massachusetts, licensed in Massachusetts (RN2311024) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598355307
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY A BAUTISTACredential: RN
Location Address801 MASSACHUSETTS AVE, SUITE 6CBoston, MA 02118
Mailing Address960 Massachusetts AveBoston, MA 02118-2620
Phone(617) 414-5951
Fax(617) 414-9201
Sole ProprietorYes
Enumeration DateJanuary 25, 2021
Last NPPES UpdateMarch 17, 20234 updates tracked since enumeration
NPPES CertifiedMarch 17, 2023
✔ NPI 1598355307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN2311024
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License RN2311024 (MA)
801 MASSACHUSETTS AVE, SUITE 6C, Boston, MA 02118
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly A Bautista Rn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 11

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

DR. MAXWELL JACOB UETZ MD
Internal Medicine
801 MASSACHUSETTS AVE, SUITE 6C, CROSSTOWN BLDG
BOSTON, MA 02118
Suffolk County (617) 414-5951
DIVYA H. SATISHCHANDRA MD
Internal Medicine
801 MASSACHUSETTS AVE, SUITE 6C, CROSSTOWN BLDG
BOSTON, MA 02118
Suffolk County (617) 414-5951
JOHN M STONE MD
Internal Medicine
801 MASSACHUSETTS AVE, SUITE 6C, CROSSTOWN BLDG
BOSTON, MA 02118
Suffolk County (617) 414-5951
MAIA RIEGER CLAMAN FNP-BC
Nurse Practitioner (Family)
801 MASSACHUSETTS AVE, SUITE 6C, CROSSTOWN BLDG
BOSTON, MA 02118
Suffolk County (617) 414-5951
DR. JOSHUA CAMPBELL GRUBBS MD, MPH
Internal Medicine
801 MASSACHUSETTS AVE, SUITE 6C, CROSSTOWN BLDG
BOSTON, MA 02118
Suffolk County (617) 414-5951
JASON SCOTT MCLEAN MD, MPH
Internal Medicine
801 MASSACHUSETTS AVE, SUITE 6C, ADULT PRIMARY CARE
BOSTON, MA 02118
Suffolk County (617) 414-5951
OM A KOTHARI
Internal Medicine
801 MASSACHUSETTS AVE, SUITE 6C, CROSSTOWN BLDG
BOSTON, MA 02118
Suffolk County (617) 414-5951
NICOLE LEGGIERO MD
Internal Medicine
801 MASSACHUSETTS AVE, SUITE 6C, CROSSTOWN BLDG
BOSTON, MA 02118
Suffolk County (617) 414-5951

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 Bautista's NPI number?

The NPI number for Kimberly Bautista is 1598355307. It was assigned to this individual provider in the NPPES registry on January 25, 2021.

Where is Kimberly Bautista located?

Kimberly Bautista practices at 801 Massachusetts Ave, Suite 6C, Boston, MA 02118. The listed phone number is (617) 414-5951.

What is Kimberly Bautista's specialty?

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

Is Kimberly Bautista enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Bautista was last updated on March 17, 2023. 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.