Ms. Kimberly L. Provenzano is a Rochester, New York based nurse practitioner with 28 years of experience in . She completed her graduation in 1997. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ms. Kimberly L. Provenzano is 370019 in New York. Her current practice location is 1425 Portland Ave, Rochester. Patients can reach her at 585-922-4020 or can fax her at 585-922-4622 and her NPI number (Unique professional ID assigned by NPPES) is 1104864081. Ms. Kimberly L. Provenzano has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Kimberly L. Provenzano speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Ms. Kimberly L. Provenzano
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Experience:
28+ years
Medical School Attended:
Other
Graduation Year:
1997
Accepts Medicare Assignment:
Yes
Practice Address:
1425 Portland Ave, Rochester, New York, 14621-3001
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3173666294
Enrollment ID:
I20100211000170
NPI Number:
1104864081
NPI Enumeration Date:
03 Jun, 2006
NPI Last Update On:
28 Jul, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Kimberly L. Provenzano are as mentioned below.
License Number
Specialization
State
Status
370019
New York
Primary
370019
Clinical Nurse Specialist
New York
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(330125)
Rochester, NY
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Ms. Kimberly L. Provenzano is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Rochester General Hospital (0244149474)
854
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Kimberly L. Provenzano such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
02674220
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ms. Kimberly L. Provenzano 1425 Portland Ave, Rochester, New York
Zip:
14621-3001
Phone Number:
585-922-4020
Fax Number:
585-922-4622
Patients can reach Ms. Kimberly L. Provenzano at 1425 Portland Ave, Rochester, New York or can call to book an appointment on 585-922-4020.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.