KIMBERLY A BUMBERA (NURSE PRACTITIONER) – Gerontology Nurse Practitioner, NPI 1164085619
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,473 NURSE PRACTITIONER in RI
Provider Addresses for KIMBERLY A BUMBERA (NURSE PRACTITIONER)
560 Cumberland Hill Rd
Woonsocket, RI 028955635
Phone: (800) 411-6768
Type: Location
Marion Avenue, Plantsville, Southington, Hartford County, Connecticut, 06479, United States
PLANTSVILLE, CT 064791442
Phone: (860) 919-9560
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.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190516002251 | I | Nurse Practitioner | CT | TBD |
| I20251024002128 | I | Nurse Practitioner | RI | TBD |
| I20251025000333 | I | Nurse Practitioner | FL | TBD |
| I20251108000065 | I | Nurse Practitioner | SC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 02895)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Nurse Practitioner | MD | |
| Emergency Medicine | TX | |
| Emergency Medicine | PA | |
| - | WV | |
| Nurse Practitioner | CA | |
| - | OR | |
| - | MD | |
| Internal Medicine, Infectious Disease | NY | |
| Nurse Practitioner | MI |
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