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KIMBERLY STUBBS APRN
NPI 1700607793
Nurse Practitioner - Gerontology in Waterford, CT

Active since October 22, 2024PECOS Enrolled
4 GREENTREE DR, WATERFORD, CT 06385(860) 442-0647 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2025, Feb 27, 2025 (2 updates tracked since 2025).

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.

NPPES Registry Identity

NPI1700607793
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKIMBERLY STUBBSCredential: APRN
Location Address4 GREENTREE DRWaterford, CT 06385-4116
Mailing Address1643 Nw 136th AveSunrise, FL 33323-3091 · (954) 377-2939
Phone(860) 442-0647
Sole ProprietorYes
Enumeration DateOctober 22, 2024
Last NPPES UpdateMay 6, 20252 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1700607793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CT · 14031
Also ListedNurse PractitionerTaxonomy 363L00000X · License 14031 (CT)
4 GREENTREE DR, Waterford, CT 06385
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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 Stubbs Aprn 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 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.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 8

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

LAURA KOZIATEK RPT
Physical Therapist
4 GREENTREE DR
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 442-0647
MS. VALERIE PEYTON GILSON COTA/L
Occupational Therapy Assistant
4 GREENTREE DR
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 442-0647
ELLEN M WHEWELL PT
Physical Therapist
4 GREENTREE DR
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 442-0647
MS. CYNTHIA M LAURIA PTA
Physical Therapy Assistant
4 GREENTREE DR
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 442-0647
GREENTREE MANOR NURSING AND REHABILITATION CENTER INC
Skilled Nursing Facility
4 GREENTREE DR
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 442-0647
MONIKA U ZAGAJA M.D.
Internal Medicine
4 GREENTREE DR
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 442-0647
MISS ANNA LYN ESPOSITO RPT
Physical Therapist
4 GREENTREE DR
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 442-0647
HAYLEY MCGILL OTR/L
Occupational Therapist
4 GREENTREE DR
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 442-0647

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 enrollment system.

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 15 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.