MS. KIMBERLY LEAH COLLYMORE (FNP) – Family Nurse Practitioner, NPI 1912110305
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,033 NURSE PRACTITIONER in WI
Provider Addresses for MS. KIMBERLY LEAH COLLYMORE (FNP)
PO BOX 529
OLATHE, CO 814250529
Phone: (970) 323-6141
Fax: (855) 299-8071
Type: Mailing
2403 FOLSOM ST
EAU CLAIRE, WI 547032435
Phone: (715) 552-9784
Fax: (715) 835-6370
Type: Mailing
2900 S WISCONSIN AVE
RICE LAKE, WI 548688578
Phone: (715) 997-3915
Type: Location
South Rio Grande Avenue, Montrose, Montrose County, Colorado, 81401, United States
MONTROSE, CO 814014831
Phone: (970) 497-3333
Fax: (855) 299-7837
Type: Location
719 W HAMILTON AVE STE B
EAU CLAIRE, WI 547016970
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-12-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031125000663 | I | Nurse Practitioner | CO | TBD |
| I20221202001322 | I | Nurse Practitioner | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 21 | 17 | $0 |
| 81002 | Urinalysis, manual test | 20 | 19 | $0 |
| 85014 | Red blood cell concentration measurement | 16 | 15 | $0 |
| 80047 | Blood test, basic group of blood chemicals (calcium, ionized) | 16 | 15 | $0 |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 81425)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice, Emergency Medicine | WI | |
| Certified Nurse Midwife (Cnm) | WI | |
| - | WI | |
| Family Practice | WI | |
| Family Practice | WI | |
| P O D I A T R Y | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Internal Medicine | WI | |
| Physician Assistant | WI |
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