Kimberly Provenzano
NPI 1104864081 · Nurse Practitioner · Rochester, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Provenzano is a Nurse Practitioner provider in Rochester, NY (NPI 1104864081).
Provider details
- NPI number
- 1104864081
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 370019 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
20 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$261 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2023-07-28
- Certified
- 2023-07-28
Frequently asked questions
- What is Kimberly Provenzano's NPI number?
- Kimberly Provenzano's National Provider Identifier (NPI) is 1104864081, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Provenzano's specialty?
- Kimberly Provenzano is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kimberly Provenzano located?
- Kimberly Provenzano's practice location on file with NPPES is 1425 Portland Ave, Rochester, NY 14621-3001.
- What is Kimberly Provenzano's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Provenzano is (585) 922-4020.
- Does Kimberly Provenzano accept Medicare?
- Kimberly Provenzano is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Provenzano's NPI active?
- Yes — Kimberly Provenzano's NPI (1104864081) is active in the NPPES registry as of the last update on 2023-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.