Skip to content

Kimberly Ann Stack, AGPCNP-BC

NPI 1316744287ActiveIndividual· Nurse Practitioner, Gerontology· Toms River, NJ

Nurse Practitioner, Gerontology (AGPCNP-BC) in Toms River, New Jersey, licensed in NJ, with an NPI issued in February 2025. Enrolled in Medicare as practitioner - nurse practitioner. Axsome Therapeutics, Inc. was the largest of 4 companies reporting payments in 2025, $85.04 in all, mostly food and beverage.

Overview

NPI1316744287
StatusActive
Entity typeIndividual
CredentialAGPCNP-BC
Sole proprietorYes
NPI issuedFeb 27, 2025
Last updated in NPPESAug 11, 2025
Certified by providerAug 11, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Gerontology Primary363LG0600X26NJ15212300NJ
Specialist/Technologist, Other246Z00000X26NJ15212300NJ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (NJ)

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$85.04 · 5 payments from 4 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$85.04 · 5 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Nurse Practitioner, Gerontology providers in Toms River

All Nurse Practitioner, Gerontology providers in New Jersey →