KIMBERLY STUBBS APRN
NPI 1700607793
Nurse Practitioner - Gerontology in Waterford, CT
About Kimberly Stubbs Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY STUBBS APRN (NPI 1700607793) is an individual gerontology provider in Waterford, Connecticut, licensed in Connecticut (14031) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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 Stubbs Aprn 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
4Medicare enrollment records show Kimberly Stubbs reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waterbury, CT 06704
- Reassigned Medicare billing, Connecticut enrollment
- 13 clinicians in this Medicare group
Derby, CT 06418
- Reassigned Medicare billing, Connecticut enrollment
- 40 clinicians in this Medicare group
Chelsea, MA 02150
- Reassigned Medicare billing, Connecticut enrollment
- 40 clinicians in this Medicare group
Frederick, MD 21701
- Reassigned Medicare billing, Connecticut enrollment
- 32 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06385 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WATERFORD, CT 06385
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 Stubbs's NPI number?
The NPI number for Kimberly Stubbs is 1700607793. It was assigned to this individual provider in the NPPES registry on October 22, 2024.
Where is Kimberly Stubbs located?
Kimberly Stubbs practices at 4 Greentree Dr, Waterford, CT 06385. The listed phone number is (860) 442-0647.
What is Kimberly Stubbs's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Kimberly Stubbs enrolled in Medicare?
Yes. Kimberly Stubbs 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 Stubbs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Stubbs reassigns Medicare benefits to 4 organizations: Snf Physiatry Services Ct PLLC (Waterbury, CT), Connecticut Post Acute Medical Services 1 PC (Derby, CT), Ma Pacs 2 PC (Chelsea, MA) and Cs Pacs 3 Northeast, LLC (Frederick, 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 Stubbs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Stubbs accept?
Health plans from Anthem Blue Cross and Blue Shield list Kimberly Stubbs 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.
When was this NPI record last updated?
The NPPES record for Kimberly Stubbs was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Kimberly Stubbs, APRN · NPI 1700607793
Gerontology physician in Waterford, Connecticut. Individual provider, active in the CMS NPPES registry since October 22, 2024.
## Identity
- **NPI:** 1700607793 (Entity type: Individual)
- **Enumerated:** October 22, 2024
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 14031 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4 GREENTREE DR, Waterford, CT 06385-4116
- **Phone:** (860) 442-0647
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Snf Physiatry Services Ct PLLC (NPI 1033911466, Waterbury, CT); Connecticut Post Acute Medical Services 1 PC (NPI 1558890467, Derby, CT); Ma Pacs 2 PC (NPI 1265918791, Chelsea, MA); Cs Pacs 3 Northeast, LLC (NPI 1093598898, Frederick, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700607793) · Data from the CMS NPPES public registry.