KIM ANN SIVAK
NPI 1942555065
Nurse Practitioner - Psychiatric/Mental Health in Virginia Beach, VA

Active since July 15, 2012PECOS Enrolled
5511 PRINCESS ANNE RD STE 200, VIRGINIA BEACH, VA 23462(757) 704-4747 Get Directions Write a Review

NPPES record last updated: December 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 21, 2025, Sep 10, 2025 (2 updates tracked since 2025).

About Kim Ann Sivak NPPES

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

KIM ANN SIVAK (NPI 1942555065) is an individual psychiatric/mental health provider in Virginia Beach, Virginia, licensed in North Carolina (5023582) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1942555065
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIM ANN SIVAK
Location Address5511 PRINCESS ANNE RD STE 200Virginia Beach, VA 23462-3321
Mailing Address5511 Princess Anne Rd Ste 200Virginia Beach, VA 23462-3321 · (757) 704-4747
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 15, 2012
Last NPPES UpdateDecember 21, 20252 updates tracked since enumeration
NPPES CertifiedDecember 21, 2025
NPI 1942555065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in NC · 5023582 Licensed in VA · 0024194577
Also ListedRegistered NurseTaxonomy 163W00000X · License 342891 (NC), RN297807L (PA)
5511 PRINCESS ANNE RD STE 200, Virginia Beach, VA 23462

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kim Ann Sivak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668953548
PECOS Enrollment IDI20260227003288
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 23462 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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

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

Nurse Practitioner (Family)
5511 PRINCESS ANNE RD STE 200
VIRGINIA BEACH, VA 23462

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 Kim Sivak's NPI number?

The NPI number for Kim Sivak is 1942555065. It was assigned to this individual provider in the NPPES registry on July 15, 2012.

Where is Kim Sivak located?

Kim Sivak practices at 5511 Princess Anne Rd Ste 200, Virginia Beach, VA 23462. The listed phone number is (757) 704-4747.

What is Kim Sivak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kim Sivak enrolled in Medicare?

Yes. Kim Sivak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kim Sivak was last updated on December 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.