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Deactivated NPI 1598841231 Deactivated / Inactive NPI Female Practitioner

Kim Susan Conklin , FNP

Nurse Practitioner • Yonkers, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kim Conklin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 27, 2006
NPI Deactivation Date June 01, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Kim Conklin, FNP was a registered Nurse Practitioner practicing in Yonkers, NY. Throughout an active medical career spanning 14 years, Kim Conklin provided care at the practice location at 967 N BROADWAY until profile deactivation on 2020-06-01.

Historical Medicare Part B clinical services included established patient outpatient office visit, emergency department visit with moderate level of medical decision making, psychotherapy with evaluation and management visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

967 N Broadway

Yonkers, NY 107011301

Telephone 9149644349
Fax 9375340166
Associated Practice Facility / Clinic
🏢 St. John's Riverside Hospital Facility NPI 1578526695

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Yonkers, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
7 Specialists

Practicing in Yonkers, NY (3155 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
41.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
30 13 $175.00 $103.02

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NY 332776-1

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

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

13 Associated Practitioners
Dr. Laura Thomas , MD

Emergency Medicine

NPI 1003998667

Doctor of Medicine (M.D.)

Dr. Susan Balezentis , DO

Emergency Medicine

NPI 1033260351

Doctor of Osteopathic Medicine (D.O.)

Dr. Mark Tang , DO

Emergency Medicine

NPI 1275619892

Doctor of Osteopathic Medicine (D.O.)

Caroline Erni , FNP-C

Nurse Practitioner - Family

NPI 1316023062

Family Nurse Practitioner (Certified)

Dr. Shi-Wen Lee , DO

Emergency Medicine

NPI 1366520850

Doctor of Osteopathic Medicine (D.O.)

Pamela Lippitt , CNP

Nurse Practitioner

NPI 1366687261

Certified Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated June 01, 2020

Record deactivated on June 01, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 967 N BROADWAY, YONKERS, NY 107011301 (Tel: 9149644349)

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Updated Business Mailing Address July 08, 2007

Registered at 97 OSBORNE AVE, PEEKSKILL, NY 105665719 (Tel: 9148217166)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KIM CONKLIN, FNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #332776-1 in NY)

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Initial NPI Registration & Enumeration October 27, 2006

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: 1598841231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2006
Last Update: July 08, 2007
Deactivation Date: June 01, 2020

Mailing Address

97 Osborne Ave

Peekskill, NY 105665719

Phone: 9148217166

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.