| Kimberly Carlson Stover, NP-C | |
|
3190 Clearwater Dr, Prescott, AZ 86305-7131 | |
| (928) 541-1312 | |
| (928) 541-0002 |
| Full Name | Kimberly Carlson Stover |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285817122 | NPI | - | NPPES |
| 527011 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN148475 (Arizona) | Secondary |
| 363L00000X | Nurse Practitioner | AP2910 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yavapai Regional Medical Center | Prescott, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Keith A Mackenzie Do Pc | 1759431539 | 4 |
| 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 |
| 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 |
Nancy Concepcion Rosales, APRN, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Gail Gardner Way Ste 300, Prescott, AZ 86305 Phone: 928-717-5232 Fax: 928-717-5238 | |
Keri Eggers-wilt, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1003 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-445-2700 | |
Mr. Donald Lee Pierce, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare 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 | |
Robert Wolfe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3623 Crossings Dr Ste 206, Prescott, AZ 86305 Phone: 866-849-0692 | |
Scott Adam Gregorowicz, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 743 Miller Valley Rd, Prescott, AZ 86301 Phone: 928-777-9600 Fax: 855-449-5560 |