Kimberly A Jividen, CNP in Elizabeth, WV - Medicare Nurse Practitioner

Kimberly A Jividen, CNP is a medicare enrolled "Nurse Practitioner - Family" in Elizabeth, West Virginia. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice West Virginia University Medical Corporation, Camden-clark Physician Corporation and her current practice location is 483 Court St, Elizabeth, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 275-3301.

Kimberly A Jividen is licensed to practice in Ohio (license number COA.16207-NP) 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 1205242369.

Contact Information

	Kimberly A Jividen, CNP
	483 Court St, Elizabeth, WV 26143-1109
	(304) 275-3301
	(304) 275-4798

Map and Direction

Provider's Profile

Full Name	Kimberly A Jividen
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	483 Court St, Elizabeth, West Virginia
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 A Jividen graduated from nursing school in 2014

NPI Data:

NPI Number: 1205242369
Provider Enumeration Date: 07/09/2014
Last Update Date: 05/01/2018

Medicare PECOS Information:

PECOS PAC ID: 9830317650
Enrollment ID: I20150812009151

Medical Identifiers

Medical identifiers for Kimberly A Jividen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205242369	NPI	-	NPPES
P01439933	Other	OH	RAILROAD MEDICARE - MHCPI
1205242369	Medicaid	WV
3810029263	Medicaid	WV
0107154	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	58709 (West Virginia)	Secondary
163W00000X	Registered Nurse	RN298807 (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	COA.16207-NP (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Camden Clark Medical Center	Parkersburg, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
West Virginia University Medical Corporation	1052224565	1722
Camden-clark Physician Corporation	5294885661	254

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 A Jividen allows following entities to bill medicare on her behalf.

Entity Name	West Virginia University Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207

Entity Name	Wirt County Health Services Association, Inc
Entity Type	Part B Supplier - Public Health/welfare Agency
Entity Identifiers	NPI Number: 1043401730 PECOS PAC ID: 7810806577 Enrollment ID: O20080602000050

Entity Name	Camden-clark Physician Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570

Entity Name	Wirt County Health Services Association, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548777527 PECOS PAC ID: 7810806577 Enrollment ID: O20191021002731

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 A Jividen 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 A Jividen, CNP Po Box 609, Elizabeth, WV 26143-0609 Ph: (304) 275-3301	Kimberly A Jividen, CNP 483 Court St, Elizabeth, WV 26143-1109 Ph: (304) 275-3301

Reviews and Comments

Nurse Practitioner Nurses in Elizabeth, WV

Charlotte L Lantz, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 Elizabeth Pike, Elizabeth, WV 26143 Phone: 304-275-3301 Fax: 304-275-4798
Amanda Lynch, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 483 Court Street, Elizabeth, WV 26143 Phone: 304-275-3301 Fax: 304-275-4798
Sarah Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 483 Court St, Elizabeth, WV 26143 Phone: 304-275-3301
Kaitlin Marie Davis, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 483 Court St, Elizabeth, WV 26143 Phone: 304-275-3301
Mrs. Kenna Lea Wagner, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 461 Schoolview Street, Elizabeth, WV 26143 Phone: 304-275-3117 Fax: 304-275-7255
Stacey N Mills, C-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 483 Court Street, Elizabeth, WV 26143 Phone: 304-275-3301 Fax: 304-275-4798

Kimberly A Jividen, CNP - Medicare Nurse Practitioner in Elizabeth, WV