KIMBERLY MARIE CONROY APRN-BC NPI 1619902889

NPI Information

  • NPI: 1619902889
  • Provider Name: KIMBERLY MARIE CONROY, APRN-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2656 W STATE ST
    SUITE 502
    OLEAN, NY
    ZIP 14760
  • Phone: (716) 373-2796

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NPI Details

Kimberly Marie Conroy, APRN-BC is a psychiatric/mental health nurse practitioner in Olean, NY with 26 years of experience. Kimberly Marie Conroy, APRN-BC NPI is 1619902889. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2656 W STATE ST
SUITE 502
OLEAN, NY
ZIP 14760-871
Phone: (716) 373-2796
Fax: (716) 373-8592

The NPI 1619902889 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Psychotherapy with evaluation and management visit, 45 minutes (HCPCS:90836)

The enumeration date for this NPI number is 7/12/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthF400540-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000560522003OTHERNEW YORKBLUE CROSS BLUE SHIELD
2337111OTHERNEW YORKVALUE OPTIONS
37480187OTHERNEW YORKGHI
49190043OTHERNEW YORKINDEPENDENT HEALTH
57804304OTHERNEW YORKAETNA
6PO1326MEDICARE UPINNEW YORK
7CC5527MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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