KIMBERLY EDITH HATHCOCK – Gerontology Nurse Practitioner, NPI 1609809128

Gerontology Nurse Practitioner

KIMBERLY EDITH HATHCOCK is a healthcare provider. based in Reno, Nevada. specializing in Gerontology Nurse Practitioner. They hold a License No. APN00424 (NV). The NPI Number for KIMBERLY EDITH HATHCOCK is 1609809128

Main info

Female

29 Years Of Experience

Accepts Medicare Assignment

Name

KIMBERLY EDITH HATHCOCK

NPI

1609809128

Phone

(775) 334-4178

Address

5250 NEIL RD

Enumeration Date

8 July 2006

Last Update Date

8 January 2018

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7753981981

Graduation Year

1997 (29 years ago)

PAC ID

6800806977

Group Practice PAC ID

6901969518

Professional Enrollment ID

I20060503000735

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KIMBERLY EDITH HATHCOCK

5250, Neil Road, Reno, Washoe County, Nevada, 89502, United States
STE 207
RENO, NV 895026556
Phone: (775) 334-4178
Fax: (775) 328-1201
Type: Location
586, Venturacci Lane, Fallon, Churchill County, Nevada, 89406, United States
FALLON, NV 894065753
Phone:
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89502)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6901969518View full group profile

Name	Specialty	State
DR. RICHARD BRUCE ROSEN (M.D.)	-	CA
CHRISTINE HAYES (MSN, APRN, FNP-C)	Nurse Practitioner	NV
MAYVELYN YOSALINA ERICHSEN (APN)	Nurse Practitioner	NV
MR. STEVEN F ERICKSON (PA-C)	-	NV
LISA AMBER FRANKS (PA-C)	-	NV
KATHERINE FRANCIS STEELE (PA-C)	-	NV
MR. STEVEN L PHILLIPS (M.D.)	-	NV
DR. LISA JOY ROSENBERG (MD)	Hospice/Palliative Care, Geriatric Medicine	NV
DR. REED W DOPF (M.D)	-	NV
SARAH ELIZABETH SUDTELL (MSN APRN FNP-BC)	Nurse Practitioner	NV