KIM H IRVING, ANP — NPI 1508970823 (Licensed & Credentialed Registered Nurse, Ambulatory Care in BLACK HAWK, CO)

CMS-1500 Box 24J / 33a • NPI

1508970823

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WP2201X

Licensed & Credentialed Registered Nurse, Ambulatory Care

Box 32 Service Location & ZIP+4

562 GREGORY STREET, BLACK HAWK, CO, 80422

Official NPPES Practice Location

Practice Phone & Referral Fax

(303) 582-5276

Fax: (303) 582-1003

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1508970823 (KIM H IRVING, ANP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1508970823` (NPI-1 Individual Practitioner)
Provider / Legal Name	KIM H IRVING, ANP
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Ambulatory Care NUCC Code: `163WP2201X` (Registered Nurse, Ambulatory Care)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	562 GREGORY STREET, BLACK HAWK, CO, 80422
Practice Telephone / Fax	Tel: (303) 582-5276 \| Fax: (303) 582-1003
Administrative Mailing Address	PO BOX 66, BLACK HAWK, CO, 80422-0066
Enumeration & Last Sync	Enumerated: 2006-08-17 \| CMS Record Updated: 2013-07-31

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

562 GREGORY STREET, BLACK HAWK, CO, 80422

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Plain-English Taxonomy & CMS Crosswalk (163WP2201X)

What Does Taxonomy Code 163WP2201X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WP2201X translates to:
"Licensed & Credentialed Registered Nurse, Ambulatory Care"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, Ambulatory Care for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KIM H IRVING, ANP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163W00000X` — Registered Nurse Plain English: Licensed & Credentialed Registered Nurse	State: CO \| License: `52786` \| Primary: Secondary
`163WP2201X` — Registered Nurse, Ambulatory Care Plain English: Licensed & Credentialed Registered Nurse, Ambulatory Care	State: CO \| License: `RXN 97-125` \| Primary: Yes (Primary)
`363LP2300X` — Nurse Practitioner, Primary Care Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care	State: CO \| License: `0001288` \| Primary: Secondary

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KIM H IRVING, ANP (NPI #1508970823)