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KIMBERLY ANNE SLOAN PMHNP
NPI 1669293916
Nurse Practitioner - Psychiatric/Mental Health in Watertown, NY

Active since October 21, 2024PECOS EnrolledAccepts Medicare Assignment
650 STATE ST, WATERTOWN, NY 13601(315) 755-1251(315) 291-6601 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2026, Aug 9, 2025 (2 updates tracked since 2025).

About Kimberly Anne Sloan Pmhnp NPPES

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

KIMBERLY ANNE SLOAN PMHNP (NPI 1669293916) is an individual psychiatric/mental health provider in Watertown, New York, licensed in New York (407397) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1669293916
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIMBERLY ANNE SLOANCredential: PMHNP
Location Address650 STATE STWatertown, NY 13601-2839
Mailing Address5420 Lucknow DrClay, NY 13041-9709 · (315) 256-8410 · Fax (315) 291-6601
Phone(315) 755-1251
Fax(315) 291-6601
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 21, 2024
Last NPPES UpdateJanuary 8, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1669293916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 407397
Also ListedRegistered Nurse · AdministratorTaxonomy 163WA2000X · License 636163 (NY)
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 636163 (NY)
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 636163 (NY)
Also ListedRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentTaxonomy 163WP0807X · License 636163 (NY)
650 STATE ST, Watertown, NY 13601
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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 and accepts Medicare assignment

Kimberly Anne Sloan Pmhnp 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 ID3678066768
PECOS Enrollment IDI20251205003888
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 13601 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.

KENZIE AUGUSTUS SOCIAL WORKER
Social Worker
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
MIRIAH KRISTINE QUESENBERRY
Registered Nurse
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
ANGEL J SHEPHERD
Licensed Practical Nurse
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
SABRINA KAY MADDEN RN
Registered Nurse
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
YANILIS ARROYO CRUZ
Student in an Organized Health Care Education/Training Program
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
NATALIE RIVELLLI MHC
Counselor (Mental Health)
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
EMILY LANTRY
Peer Specialist
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
ARIANNA ELISE BARKER I
Case Manager/Care Coordinator
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251

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 Sloan's NPI number?

The NPI number for Kimberly Sloan is 1669293916. It was assigned to this individual provider in the NPPES registry on October 21, 2024.

Where is Kimberly Sloan located?

Kimberly Sloan practices at 650 State St, Watertown, NY 13601. The listed phone number is (315) 755-1251.

What is Kimberly Sloan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kimberly Sloan enrolled in Medicare?

Yes. Kimberly Sloan 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.

When was this NPI record last updated?

The NPPES record for Kimberly Sloan was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.