Kimberly Stubbs, APRN - Medicare Nurse Practitioner in Waterford, CT

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Kimberly Stubbs, APRN is a medicare enrolled "Nurse Practitioner - Gerontology" in Waterford, Connecticut. Her current practice location is 4 Greentree Dr, Waterford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 442-0647.

Kimberly Stubbs is licensed to practice in Connecticut (license number 14031) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700607793.

Contact Information

Kimberly Stubbs, APRN
4 Greentree Dr,
Waterford, CT 06385-4116
(860) 442-0647
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Stubbs
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location4 Greentree Dr, Waterford, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700607793
  • Provider Enumeration Date: 10/22/2024
  • Last Update Date: 05/06/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5193246148
  • Enrollment ID: I20250306000405

Medical Identifiers

Medical identifiers for Kimberly Stubbs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700607793NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 14031 (Connecticut)Secondary
363LG0600XNurse Practitioner - Gerontology 14031 (Connecticut)Primary

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 Stubbs allows following entities to bill medicare on her behalf.
Entity NameConnecticut Post Acute Medical Services 1 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558890467
PECOS PAC ID: 5092089755
Enrollment ID: O20170919001161
Entity NameMa Pacs 2 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265918791
PECOS PAC ID: 4284983628
Enrollment ID: O20200717000540
Entity NameCs Pacs 3 Northeast, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093598898
PECOS PAC ID: 0941656607
Enrollment ID: O20240805002825

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 Stubbs 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 AddressPractice Location Address
Kimberly Stubbs, APRN
1643 Nw 136th Ave,
Sunrise, FL 33323-3091

Ph: (954) 377-2939		Kimberly Stubbs, APRN
4 Greentree Dr,
Waterford, CT 06385-4116

Ph: (860) 442-0647

Reviews and Comments


Nurse Practitioner Nurses in Waterford, CT

Jane P Genido-trujillo, MS,APRN
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Practice Location: 230 Waterford Pkwy S, Waterford, CT 06385
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Alexandra Lamonica, MSN, RN, FNP-BC
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Practice Location: 196 Waterford Pkwy S, Waterford, CT 06385
Phone: 860-443-4455    
Melina Spanos,
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Medicare: Medicare Enrolled
Practice Location: 24 Colonial Dr, Waterford, CT 06385
Phone: 860-460-5961    
Patricia Mcclure, APRN, PMH-NP BC
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Medicare: Not Enrolled in Medicare
Practice Location: 7 Mayfair Dr, Waterford, CT 06385
Phone: 860-442-6567    Fax: 860-440-3620
Jessie R Baudner, ANP BC
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Medicare: Accepting Medicare Assignments
Practice Location: 196 Waterford Pkwy S Ste 306, Waterford, CT 06385
Phone: 860-447-2489    Fax: 860-437-1231

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.