Kimberly Carlson Stover, NP-C in Prescott, AZ

Kimberly Carlson Stover, NP-C is a medicare enrolled "Nurse Practitioner" in Prescott, Arizona. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Keith A Mackenzie Do Pc and her current practice location is 3190 Clearwater Dr, Prescott, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 541-1312.

Kimberly Carlson Stover is licensed to practice in Arizona (license number AP2910) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285817122.

Contact Information

	Kimberly Carlson Stover, NP-C
	3190 Clearwater Dr, Prescott, AZ 86305-7131
	(928) 541-1312
	(928) 541-0002

Map and Direction

Provider's Profile

Full Name	Kimberly Carlson Stover
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	3190 Clearwater Dr, Prescott, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Carlson Stover graduated from nursing school in 2007

NPI Data:

NPI Number: 1285817122
Provider Enumeration Date: 12/13/2007
Last Update Date: 01/03/2019

Medicare PECOS Information:

PECOS PAC ID: 4183706716
Enrollment ID: I20080204000646

Medical Identifiers

Medical identifiers for Kimberly Carlson Stover such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285817122	NPI	-	NPPES
527011	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN148475 (Arizona)	Secondary
363L00000X	Nurse Practitioner	AP2910 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Yavapai Regional Medical Center	Prescott, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Keith A Mackenzie Do Pc	1759431539	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Carlson Stover allows following entities to bill medicare on her behalf.

Entity Name	Keith A Mackenzie Do Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396971958 PECOS PAC ID: 1759431539 Enrollment ID: O20090617000201

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Carlson Stover is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly Carlson Stover, NP-C Po Box 11208, Prescott, AZ 86304-1208 Ph: (928) 541-1312	Kimberly Carlson Stover, NP-C 3190 Clearwater Dr, Prescott, AZ 86305-7131 Ph: (928) 541-1312

Reviews and Comments

Nurse Practitioner Nurses in Prescott, AZ

Nancy Concepcion Rosales, APRN, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1050 Gail Gardner Way Ste 300, Prescott, AZ 86305 Phone: 928-717-5232 Fax: 928-717-5238
Mr. Donald Lee Pierce, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1812 N Pearl Ln, Prescott, AZ 86301 Phone: 602-526-0628
Mrs. Brenda A. Austin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3165 Stillwater Dr, Prescott, AZ 86305 Phone: 928-277-0875 Fax: 608-716-2838
Mr. Galen Francis Richmond, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 Fax: 866-323-5458
Nathan William Farnsworth, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 642 Dameron Dr, Prescott, AZ 86301 Phone: 928-445-5211
Mrs. Susan Elaine Spear, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 Fax: 866-323-8458
Catherine A Kefer, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5430 Landmark Ln, Prescott, AZ 86301 Phone: 971-262-9600

Kimberly Carlson Stover, NP-C - Medicare Nurse Practitioner in Prescott, AZ