KIMBERLY A. STAUFFER MS CRNP NPI 1639183635

NPI Information

  • NPI: 1639183635
  • Provider Name: KIMBERLY A. STAUFFER, MS, CRNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2003 MEDICAL PARKWAY
    SUITE 400
    ANNAPOLIS, MD
    ZIP 21401
  • Phone: (410) 573-2530

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NPI Details

Kimberly A. Stauffer, MS, CRNP is an adult health nurse practitioner in Annapolis, MD. Kimberly A. Stauffer, MS, CRNP NPI is 1639183635. 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:

2003 MEDICAL PARKWAY
SUITE 400
ANNAPOLIS, MD
ZIP 21401-088
Phone: (410) 573-2530
Fax: (410) 573-2536

The NPI 1639183635 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 enumeration date for this NPI number is 7/28/2006 and was last updated on 7/9/2007.

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
1363LA2200XNurse PractitionerAdult HealthR083215MARYLANDYes

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
1003742A13MEDICARE ID-TYPE UNSPECIFIEDMARYLANDMEDICARE# PRINCE GEORGE C
2S58734MEDICARE UPIN
37734MEDICARE ID-TYPE UNSPECIFIEDMARYLANDMEDICARE# ANNE ARUNDEL CO

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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