Kimberly L. Provenzano
Nurse Practitioner · Rochester, NY
Kimberly L. Provenzano is a nurse practitioner with a practice address in Rochester, New York, and NPI 1104864081, issued on Jun 3, 2006. Check the license (New York 370019, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kimberly L. Provenzano
- Primary taxonomy
- Nurse Practitioner 363L00000X
- License number
- 370019 NY
Self-reported in NPPES; status is on the state search - Practice location
- 1425 Portland Ave, Rochester, NY 14621
- Phone
- (585) 922-4020
- Enumerated
- Jun 3, 2006
- Record last updated
- Jul 28, 2023
- Fax
- (585) 922-4622
- Medicaid ID
- 02674220 NY
- Medicare enrollment
- Enrolled (PECOS I20100211000170); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest nurse practitioner records → All 3,097 in New York → Look up another NPI →
Also registered at 1425 Portland Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Hassan Abbas, M.D.Hospitalist Physician1831643998
- Azza Abdalla, MDStudent in an Organized Health Care Education/Training Program1043053077
- Salman Abdul Basit, M.D.Hospitalist Physician1346987104
- Abdullah Abdullah, MDCardiovascular Disease Physician1073965042
- Mouhamed Yazan Abou-Ismail, M.D.Hematology & Oncology Physician1336553676
Verify Kimberly L. Provenzano in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 370019Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The MIPS final score for 2023 (Medicare payment program): 95.2 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $261.48
3 payments; by number, the most common kind was food and beverage; the largest payer was Myriad Genetic Laboratories, Inc. The 38,884 providers of this specialty with any payment received $791.64 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
One hospital affiliation
- Rochester General HospitalRochester, NY · Acute Care Hospitals2 of 5 stars
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Kimberly L. Provenzano among 3,097 nurse practitioner records in New York
Kimberly L. Provenzano is one of 3,097 nurse practitioner records with a practice address in New York. 64% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 5% of them.
- NPI issued2006 · 5% of these records are older, 70% newer
- In a Medicare fileYes · 64% of these records are
- In the CMS Doctors and Clinicians fileYes · 44% of these records are
- Graduated1997 · median 2017 among the 1,360 with a school on file
- Record last updated2023 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
231 nurse practitioner records list a practice address in Rochester
They are 231 of the 20,520 NPPES records with a practice address in Rochester, and 3,097 nurse practitioner records in New York.
All 3,097 in New York → Every provider in Rochester → Nurse Practitioner nationwide →
The 8 nurse practitioner records with the nearest ZIP codes
- Dorothy Chilton, N.P.Rochester, NY 146211134167901
- Darlene Dinapoli, NPRochester, NY 146211558528687
- Karen Dugan, NPRochester, NY 146211013014455
- Elizabeth Elmore, N.P.Rochester, NY 146211922046705
- Stacey Forshay, CRNPRochester, NY 146211235184730
- Lindsay Holmes, NPRochester, NY 146211326054057
- Tammy Maher, NPRochester, NY 146211548696560
- Paul Maxwell, F.N.P.Rochester, NY 146211811915010
Common questions
What is Kimberly L. Provenzano's NPI number?
Kimberly L. Provenzano's National Provider Identifier (NPI) is 1104864081, issued on Jun 3, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kimberly L. Provenzano located?
The NPPES record lists a practice address at 1425 Portland Ave, Rochester, NY, 14621. Phone: (585) 922-4020. Providers update this record themselves, so call before visiting.
How can I verify Kimberly L. Provenzano's license?
NPPES lists New York license number 370019, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
What is Kimberly L. Provenzano's MIPS final score?
The 2023 MIPS final score is 95.2 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.