KIMBERLY ANN KOVACICH (NP) – Nurse Practitioner, NPI 1013066620

KIMBERLY ANN KOVACICH (NP) is a healthcare provider. based in Hampton, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 0024191129 (VA). The NPI Number for KIMBERLY ANN KOVACICH (NP) is 1013066620

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ANN KOVACICH (NP)
NPI
1013066620
Phone
(757) 736-2540
Address
4001 Coliseum Dr Ste 310A
Enumeration Date
10 January 2007
Last Update Date
17 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7577362540
Graduation Year
1997 (29 years ago)
PAC ID
6204068646
Group Practice PAC ID
8921903923
Professional Enrollment ID
I20250505001980
Address ID
VA236666257HA4001XDRXX305
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for KIMBERLY ANN KOVACICH (NP)

  • 4001 Coliseum Dr Ste 310A

    Hampton, VA 236666257

    Phone: (757) 736-2540

    Type: Location

  • 600 N, McCordsville, Hancock County, Indiana, 46055:46140, United States

    MCCORDSVILLE, IN 460559715

    Phone: (317) 335-1588

    Fax: (317) 324-4073

    Type: Location

  • 5189, West 600 North, McCordsville, Hancock County, Indiana, 46055, United States

    MCCORDSVILLE, IN 460559566

    Phone: (317) 335-5189

    Fax: (317) 324-4073

    Type: Mailing

  • 1010 BORDEN RD

    RICHMOND, VA 232296716

    Phone: (833) 767-4386

    Fax: (833) 874-0554

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($19).

Total Amount

$53

General + Research + Ownership

Payments

3

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-05-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250505001980INurse PractitionerVATBD

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.

Verify on CMS Revalidation Lookup Tool

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 23666)

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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: 8921903923View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineVA
Nurse PractitionerVA
-MI
-VA
-VA
Pulmonary Disease, Internal MedicineGA
N E U R O L O G YVA
Physician AssistantVA
-VA
Family PracticeVA

Reviews

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Frequently asked questions

How do I look up KIMBERLY ANN KOVACICH (NP) by NPI?
Use NPI 1013066620 when you need to reference KIMBERLY ANN KOVACICH (NP) in forms, claims, or directories.
Does this profile mean KIMBERLY ANN KOVACICH (NP) is currently active?
Yes — KIMBERLY ANN KOVACICH (NP) appears active in the national provider directory.
What does KIMBERLY ANN KOVACICH (NP) treat or focus on?
Patients typically see KIMBERLY ANN KOVACICH (NP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KIMBERLY ANN KOVACICH (NP)'s primary listing?
We display Hampton, Virginia because that is what the record indicates for KIMBERLY ANN KOVACICH (NP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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