Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mrs. Kimberly Carly Nicole Stevenson, FNP-BC

Individual provider Registered Nurse · NPI 1053818450

Mrs. Kimberly Carly Nicole Stevenson, FNP-BC is a Nurse Practitioner in Scarbro, West Virginia. Qualified in 2020, 6 years ago. Practices with Free Clinic of the New River Valley Inc, a 15-clinician group and accepts Medicare assignment. Licensed in Ohio, Virginia and West Virginia.

Years since qualifying
6
Licensed in
OH, VA, WV
In the registry since
2018
Specialties on file
4
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

908 Scarbro Rd
Scarbro, WV 25917-8837
Phone: (304) 469-2905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024180856 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 467275 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 97400 (WV)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 108428 (WV)

Record details

NPI number1053818450
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedApril 11, 2018
Last updated in NPPESMarch 10, 2021
Certification dateMarch 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Free Clinic Of The New River Valley Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Free Clinic of the New River Valley Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 15 clinicians in the practice; 12 are shown here.

Other providers in Scarbro