KATHLEEN E SHIMP (MD) – Obstetrics & Gynecology Physician, NPI 1134128259

KATHLEEN E SHIMP (MD) is a healthcare provider. based in Fort myers, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. ME93181 (FL). The NPI Number for KATHLEEN E SHIMP (MD) is 1134128259

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN E SHIMP (MD)
NPI
1134128259
Phone
(239) 275-5522
Address
12730 NEW BRITTANY BLVD STE 602
Enumeration Date
20 July 2005
Last Update Date
24 October 2017

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
2394815437
Graduation Year
2001 (25 years ago)
PAC ID
1557399201
Group Practice PAC ID
5395807218
Professional Enrollment ID
I20050803000086
Address ID
FL339089617FO9021XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,538 OBSTETRICS/GYNECOLOGY in FL

Provider Addresses for KATHLEEN E SHIMP (MD)

  • 12730 NEW BRITTANY BLVD STE 602

    FORT MYERS, FL 339074690

    Phone: (239) 275-5522

    Fax: (239) 275-4464

    Type: Mailing

  • 9021 PARK ROYAL DR

    FORT MYERS, FL 339089617

    Phone: (239) 432-5858

    Fax: (239) 482-6297

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $512.

Total Amount is formed as General ($512) + Research ($0) + Ownership ($0) = $512.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($168).

Total Amount

$512

General + Research + Ownership

Payments

31

Total payment records

General Amount

$512

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-11-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2005-08-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050803000086IObstetrics/GynecologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination127127$0
99213Established patient office or other outpatient visit, 20-29 minutes12387$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory9595$0
77063Screening 3d breast mammography7575$0
77067Screening mammography7575$0
View full utilization report →

Insurance plans in this area (ZIP 33907)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395807218View full group profile
NameSpecialtyState
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
-CO
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL

Reviews

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Frequently asked questions

Does KATHLEEN E SHIMP (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KATHLEEN E SHIMP (MD) uses 1134128259.
Does the file indicate KATHLEEN E SHIMP (MD) is practicing under active NPI?
Directory data currently reports KATHLEEN E SHIMP (MD) as active.
What taxonomy line describes KATHLEEN E SHIMP (MD)?
For research purposes, treat KATHLEEN E SHIMP (MD) as Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for KATHLEEN E SHIMP (MD)?
KATHLEEN E SHIMP (MD)'s geographic hint is Fort Myers, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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