KIMBERLEY D WASHBOURNE (NP) – Family Nurse Practitioner, NPI 1184656324

KIMBERLEY D WASHBOURNE (NP) is a healthcare provider. based in Glen allen, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. NP500226390 (VA). The NPI Number for KIMBERLEY D WASHBOURNE (NP) is 1184656324

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLEY D WASHBOURNE (NP)
NPI
1184656324
Phone
(804) 822-4355
Address
5000 COX RD
Enumeration Date
7 July 2006
Last Update Date
7 July 2025

Doctor Profile

Medical School Name
MARYMOUNT UNIVERSITY
Secondary Phone
2027154470
Graduation Year
2003 (23 years ago)
PAC ID
8921016031
Group Practice PAC ID
6204202864
Professional Enrollment ID
I20060405000130
Address ID
DC200205700WA2228XSEXX700
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for KIMBERLEY D WASHBOURNE (NP)

  • 5000 COX RD

    GLEN ALLEN, VA 230609263

    Phone: (804) 822-4355

    Fax: (540) 678-9025

    Type: Mailing

  • 224D CORNWALL ST NW STE 403

    LEESBURG, VA 201762704

    Phone: (703) 737-6010

    Fax: (571) 291-9786

    Type: Mailing

  • 211 GIBSON ST NW STE 215

    LEESBURG, VA 201762115

    Phone: (571) 707-2085

    Fax: (571) 291-9196

    Type: Location

  • 2228 MARTIN LUTHER KING JR AVE SE

    WASHINGTON, DC 200205700

    Phone: (202) 715-4444

    Type: Mailing

  • Patient First, 10100, Fairfax Boulevard, Country Club Hills, Fairfax, Fairfax (city), Virginia, 22030, United States

    FAIRFAX, VA 220302000

    Phone: (703) 679-1876

    Fax: (703) 679-1877

    Type: Location

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: 2024-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20060331000315INurse PractitionerVATBD
I20060405000130INurse PractitionerDCTBD
I20240320000147INurse PractitionerMDTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2520$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2118$0
View full utilization report →

Insurance plans in this area (ZIP 23060)

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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: 6204202864View full group profile
NameSpecialtyState
Physician AssistantMD
Physician AssistantDC
Physician AssistantDC
Physician AssistantVA
Physician AssistantNC
Physician AssistantMD
Physician AssistantMD
Nurse PractitionerVA
Emergency Medicine, Family PracticeDC

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Frequently asked questions

Is KIMBERLEY D WASHBOURNE (NP) listed with a National Provider Identifier?
Yes — KIMBERLEY D WASHBOURNE (NP) has NPI 1184656324 on file in the registry.
Would KIMBERLEY D WASHBOURNE (NP) appear as active to a payer?
You can treat KIMBERLEY D WASHBOURNE (NP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KIMBERLEY D WASHBOURNE (NP)?
KIMBERLEY D WASHBOURNE (NP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is KIMBERLEY D WASHBOURNE (NP) associated with Glen Allen?
Public fields place KIMBERLEY D WASHBOURNE (NP) around Glen Allen, Virginia. Always confirm the exact site before visiting.
Does KIMBERLEY D WASHBOURNE (NP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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