KIMBERLY S. FLORENCE NP
NPI 1679727143
Nurse Practitioner - Adult Health in Sandwich, MA

Active since November 11, 2008PECOS EnrolledAccepts Medicare Assignment
97.03/100
CMS Quality Rating
2 JAN SEBASTIAN WAY, SANDWICH, MA 02563(508) 833-8247(508) 833-6535 Get Directions Write a Review

NPPES record last updated: May 18, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly S. Florence Np NPPES

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

KIMBERLY S. FLORENCE NP (NPI 1679727143) is an individual adult health provider in Sandwich, Massachusetts, licensed in Massachusetts (197921) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with Martha's Vineyard Hospital Inc, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1679727143
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKIMBERLY S. FLORENCECredential: NP
Location Address2 JAN SEBASTIAN WAYSandwich, MA 02563
Mailing Address25 Communications Way, Macc-revenue CycleHyannis, MA 02601-1866 · (508) 957-8664 · Fax (508) 957-8677
Fax(508) 833-6535
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 11, 2008
Last NPPES UpdateMay 18, 2010
NPI 1679727143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MA · 197921
2 JAN SEBASTIAN WAY, Sandwich, MA 02563

Accepted 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 S. Florence Np 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 ID1052474632
PECOS Enrollment IDI20090107000675
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 10

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
357 services128 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
299 services127 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
148 services114 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
141 services134 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
122 services79 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
66 services53 patients

Hospital Affiliations CMS Care Compare

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

Martha's Vineyard Hospital Inc

Critical Access Hospitals · Oak Bluffs, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221300
LocationOne Hospital Road, First Fl, Wing 5, PO Box 1477Oak Bluffs, MA 02557 · Dukes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02563 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

97.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier26 claims26 services$15.59 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier38 claims38 services$84.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Internal Medicine
2 JAN SEBASTIAN WAY
SANDWICH, MA 02563
Internal Medicine
2 JAN SEBASTIAN WAY
SANDWICH, MA 02563
Family Medicine
2 JAN SEBASTIAN WAY
SANDWICH, MA 02563
Internal Medicine
2 JAN SEBASTIAN WAY
SANDWICH, MA 02563

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 Florence's NPI number?

The NPI number for Kimberly Florence is 1679727143. It was assigned to this individual provider in the NPPES registry on November 11, 2008.

Where is Kimberly Florence located?

Kimberly Florence practices at 2 Jan Sebastian Way, Sandwich, MA 02563. The listed phone number is (508) 833-8247.

What is Kimberly Florence's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kimberly Florence enrolled in Medicare?

Yes. Kimberly Florence 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 Florence accept?

Health plans from Anthem Blue Cross and Blue Shield list Kimberly Florence 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 Florence affiliated with any hospitals?

According to CMS data, Kimberly Florence is affiliated with Martha's Vineyard Hospital Inc.

When was this NPI record last updated?

The NPPES record for Kimberly Florence was last updated on May 18, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.