Kimberley Koontz, PMHNP - Nurse Practitioner in Charlotte, NC

Kimberley Koontz, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Charlotte, North Carolina. Kimberley Koontz is licensed to practice in North Carolina (license number 5012464) and her current practice location is 3303 Latrobe Dr, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at (704) 362-2663.

NPI number for Kimberley Koontz is 1114560794 and her current mailing address is 8604 Royster Run, Waxhaw, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114560794.

Contact Information

Kimberley Koontz, PMHNP
3303 Latrobe Dr,
Charlotte, NC 28211-4851
(704) 362-2663
Not Available

Map and Direction




Provider's Profile

Full NameKimberley Koontz
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location3303 Latrobe Dr, Charlotte, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114560794
  • Provider Enumeration Date: 10/25/2019
  • Last Update Date: 10/29/2019

Medical Identifiers

Medical identifiers for Kimberley Koontz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114560794NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 5012464 (North Carolina)Primary

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. Kimberley Koontz is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberley Koontz, PMHNP
8604 Royster Run,
Waxhaw, NC 28173-7831

Ph: (609) 558-3888
Kimberley Koontz, PMHNP
3303 Latrobe Dr,
Charlotte, NC 28211-4851

Ph: (704) 362-2663

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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