KIMBERLY SOUTUYO NP
NPI 1871998302
Nurse Practitioner - Acute Care in Fairfax, VA

Q: What is Kimberly Soutuyo's NPI number?

The NPI number for Kimberly Soutuyo is 1871998302. It was assigned to this individual provider in the NPPES registry on October 27, 2014.

Q: What is Kimberly Soutuyo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Soutuyo was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 October 27, 2014PECOS EnrolledAccepts Medicare Assignment

2722 MERRILEE DR, SUITE 230, FAIRFAX, VA 22031(703) 698-4444(703) 204-0116 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kimberly Soutuyo Np NPPES

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

KIMBERLY SOUTUYO NP (NPI 1871998302) is an individual acute care provider in Fairfax, Virginia, licensed in Virginia (0024172024) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Conway Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1871998302

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameKIMBERLY SOUTUYOCredential: NP

Location Address2722 MERRILEE DR, SUITE 230Fairfax, VA 22031-4420

Mailing Address2722 Merrilee Dr, Suite 230Fairfax, VA 22031-4420 · (703) 698-4444 · Fax (703) 204-0116

Phone(703) 698-4444

Fax(703) 204-0116

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 27, 2014

✔ NPI 1871998302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in VA · 0024172024

2722 MERRILEE DR, Fairfax, VA 22031

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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 Soutuyo 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 ID5294058277

PECOS Enrollment IDI20250703001762

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.

Hospital Affiliations CMS Care Compare

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

Conway Medical Center

Acute Care Hospitals · Conway, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420049

Location300 Singleton Ridge RoadConway, SC 29526 · Horry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

JING SELIA CHEN M.D.