Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Carlson Stover, NP-C

Individual provider Registered Nurse · NPI 1285817122

Kimberly Carlson Stover, NP-C is a Nurse Practitioner in Prescott, Arizona. Qualified in 2007, 19 years ago. Practices with Keith a Mackenzie DO PC, a 3-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
19
Licensed in
AZ
In the registry since
2007
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

3190 Clearwater Dr
Prescott, AZ 86305-7131
Phone: (928) 541-1312
Fax: (928) 541-0002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP2910 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence RN148475 (AZ)

Record details

NPI number1285817122
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedDecember 13, 2007
Last updated in NPPESJanuary 3, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Keith A Mackenzie Do Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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