KIMBERLY SUE HESS ANP-BC
NPI 1831496181
Nurse Practitioner - Adult Health in New Bern, NC

Q: What is Kimberly Hess's NPI number?

The NPI number for Kimberly Hess is 1831496181. It was assigned to this individual provider in the NPPES registry on February 23, 2011.

Q: What is Kimberly Hess's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Hess was last updated on January 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 23, 2011PECOS Enrolled

47.59/100

CMS Quality Rating

2000 NEUSE BLVD, NEW BERN, NC 28560(252) 636-5135(252) 636-5395 Get Directions Write a Review

NPPES record last updated: January 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kimberly Sue Hess Anp-bc NPPES

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

KIMBERLY SUE HESS ANP-BC (NPI 1831496181) is an individual adult health provider in New Bern, North Carolina, licensed in North Carolina (5005102) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831496181

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKIMBERLY SUE HESSCredential: ANP-BC

Location Address2000 NEUSE BLVDNew Bern, NC 28560-3449

Mailing AddressPo Box 12248New Bern, NC 28561-2248 · (252) 636-5135 · Fax (252) 636-5395

Phone(252) 636-5135

Fax(252) 636-5395

Sole ProprietorNo

Enumeration DateFebruary 23, 2011

Last NPPES UpdateJanuary 20, 2020

✔ NPI 1831496181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NC · 5005102

Also ListedRegistered Nurse · OncologyTaxonomy 163WX0200X · License 135043 (NC)

2000 NEUSE BLVD, New Bern, NC 28560

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Sue Hess Anp-bc 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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Hess reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolina East Physicians

Same address

Anatomic Pathology & Clinical Pathology

2000 NEUSE BLVD
New Bern, NC 28560

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Carolinaeast Physicians
320 clinicians in this Medicare group

NPI 1114524519 (252) 637-9298

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

511 services206 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

155 services102 patients

Biopsy of bone marrow 38221

A bone marrow biopsy is a procedure where a small sample of bone marrow is taken for testing. It's usually done to diagnose or monitor blood and bone marrow diseases. A special needle is inserted into a bone, often the hip, to extract the sample. It's a short procedure but may cause some discomfort.

34 services32 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28560 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

47.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

43.48

Promoting Interoperability

Improvement Activities

Cost

65.16

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.

REBECCA SAENZ DUBAY M.D.

Emergency Medicine