MRS. KYMBERLI RAYE BROCK NP-C NPI 1619972478

NPI Information

  • NPI: 1619972478
  • Provider Name: MRS. KYMBERLI RAYE BROCK, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3841 PIPER ST
    SUITE T100
    ANCHORAGE, AK
    ZIP 99508
  • Phone: (907) 561-3211

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NPI Details

MRS. Kymberli Raye Brock, NP-C is a family nurse practitioner in Anchorage, AK with 24 years of experience. MRS. Kymberli Raye Brock, NP-C NPI is 1619972478. 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:

3841 PIPER ST
SUITE T100
ANCHORAGE, AK
ZIP 99508-624
Phone: (907) 561-3211
Fax: (907) 562-7547

The NPI 1619972478 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)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or (HCPCS:G2212)
  • Removal of impacted ear wax (HCPCS:69210)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 6/17/2005 and was last updated on 10/29/2013.

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
1363LA2200XNurse PractitionerAdult HealthNP-586AIDAHONo
2363LF0000XNurse PractitionerFamily1073ALASKAYes

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
1000010147885OTHERBLUE SHIELD
2K162319MEDICARE PINALASKA
31344029MEDICARE ID-TYPE UNSPECIFIEDIDAHO
41022256MEDICAIDALASKA
5806735600MEDICAIDIDAHO
6P87678MEDICARE UPINIDAHO

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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