KIMBERLY ODEL BURNETT (FNP) – Family Nurse Practitioner, NPI 1720304967

KIMBERLY ODEL BURNETT (FNP) is a healthcare provider. based in Charles city, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 335613 (NY). The NPI Number for KIMBERLY ODEL BURNETT (FNP) is 1720304967

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ODEL BURNETT (FNP)
NPI
1720304967
Phone
(518) 527-0938
Address
11301 KIMAGES RD
Enumeration Date
13 April 2010
Last Update Date
7 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8047250100
Graduation Year
2008 (18 years ago)
PAC ID
3274665070
Group Practice PAC ID
0143502898
Professional Enrollment ID
I20200706000860
Address ID
VA231092309MA9184XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness75
Years active:16State licenses:3Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for KIMBERLY ODEL BURNETT (FNP)

  • 11301 KIMAGES RD

    CHARLES CITY, VA 230302736

    Phone: (518) 527-0938

    Type: Mailing

  • 9184 BUCKLEY HALL RD

    MATHEWS, VA 231092309

    Phone: (804) 725-0100

    Fax: (804) 414-7529

    Type: Location

  • 114, Desmond Street, Sayre, Bradford County, Pennsylvania, 18840, United States

    SAYRE, PA 188402084

    Phone: (570) 882-7401

    Fax: (570) 882-7404

    Type: Location

  • Old Route 34, Town of Barton, Tioga County, New York, 14892, United States

    BARTON, NY 137341836

    Phone: (518) 527-0938

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $329.

Total Amount is formed as General ($329) + Research ($0) + Ownership ($0) = $329.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($103).

Total Amount

$329

General + Research + Ownership

Payments

20

Total payment records

General Amount

$329

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2020-07-06

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
I20200706000860INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0897Injection, denosumab, 1 mg78012$0
99214Established patient office or other outpatient visit, 30-39 minutes220178$0
99213Established patient office or other outpatient visit, 20-29 minutes189132$0
87804Detection test by immunoassay with direct visual observation for influenza virus4421$0
99212Established patient office or other outpatient visit, 10-19 minutes3230$0
View full utilization report →

Insurance plans in this area (ZIP 23030)

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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: 0143502898View full group profile
NameSpecialtyState
Nurse PractitionerVA

Reviews

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Frequently asked questions

What NPI should I save for KIMBERLY ODEL BURNETT (FNP)?
Save NPI 1720304967 if you need a stable reference for KIMBERLY ODEL BURNETT (FNP).
Is KIMBERLY ODEL BURNETT (FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KIMBERLY ODEL BURNETT (FNP)?
The page reflects Family Nurse Practitioner for KIMBERLY ODEL BURNETT (FNP). Clinical services aligned with this taxonomy classification.
Does KIMBERLY ODEL BURNETT (FNP) practice in Virginia?
You will see Charles City, Virginia on file for KIMBERLY ODEL BURNETT (FNP) alongside any extra practice locations.
How can I contact KIMBERLY ODEL BURNETT (FNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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