Active NPI 1497419691 Individual Practitioner Female Practitioner

Kimberly Susan Stultz

Peer Specialist • Anchorage, AK

Professional Overview & Biography Verified Profile Summary

Kimberly Stultz is a registered healthcare professional specializing in Peer Specialist in Anchorage, AK. Practice services are available at 3600 SAN JERONIMO DR STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3600 San Jeronimo Dr Ste 201

Anchorage, AK 995082870

Telephone 9077933200

Fax 9077933250

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Anchorage, AK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

110 Specialists

Practicing in Anchorage, AK (581 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-10-05

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Naya Indira

Counselor - Mental Health

NPI 1013758085

Brittany Vo

Technician, Health Information - Assistant Record Technician

NPI 1063004513

Skyler Marner , MS

Case Manager/Care Coordinator

NPI 1063248714

Master of Science

Eric Pavil

Technician, Health Information - Assistant Record Technician

NPI 1083322762

Max Kraus

Peer Specialist

NPI 1124683198

Paul Fellner

Counselor - Mental Health

NPI 1144090952

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 25, 2021

NPI status registered as active in NPPES database

📍

Updated Practice Location October 25, 2021

Registered at 3600 SAN JERONIMO DR STE 201, ANCHORAGE, AK 995082870 (Tel: 9077933200)

📍

Updated Business Mailing Address October 25, 2021

Registered at 3600 SAN JERONIMO DR STE 201, ANCHORAGE, AK 995082870 (Tel: 9077933200)

👤

Provider Name / Credentials Updated October 25, 2021

Recorded as KIMBERLY STULTZ

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2021

Peer Specialist

🟢

Initial NPI Registration & Enumeration October 25, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497419691

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 25, 2021

Last Update: October 25, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3600 San Jeronimo Dr Ste 201

Anchorage, AK 995082870

Phone: 9077933200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.