Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Carol Ellison, NP

Individual provider Family Nurse Practitioner · NPI 1205094174

Kimberly Carol Ellison, NP is a Nurse Practitioner in Wytheville, Virginia. Qualified in 2007, 19 years ago. Practices with Mount Rogers Community Services, a 34-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
19
Licensed in
VA
In the registry since
2008
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

770 W Ridge Rd Ste 220
Wytheville, VA 24382-1187
Phone: (276) 223-3202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024167810 (VA)

Record details

NPI number1205094174
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 28, 2008
Last updated in NPPESOctober 26, 2021
Certification dateOctober 26, 2021

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 Mount Rogers Community Services — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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