SUSAN RUTH KIMPER (PMHNP-BC) – Psychiatric/Mental Health Registered Nurse, NPI 1619602828

SUSAN RUTH KIMPER (PMHNP-BC) is a healthcare provider. based in Fort myers, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 11023052 (FL). The NPI Number for SUSAN RUTH KIMPER (PMHNP-BC) is 1619602828

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN RUTH KIMPER (PMHNP-BC)
NPI
1619602828
Phone
(239) 223-2751
Address
4310 METRO PKWY STE 205
Enumeration Date
21 July 2022
Last Update Date
2 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2392232751
Graduation Year
1993 (33 years ago)
PAC ID
4789039587
Group Practice PAC ID
2860619632
Professional Enrollment ID
I20231014000048
Address ID
FL339169416FO4310XPKWY301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for SUSAN RUTH KIMPER (PMHNP-BC)

  • 4310 METRO PKWY STE 205

    FORT MYERS, FL 339169416

    Phone: (239) 223-2751

    Type: Location

  • 2230 VENETIAN CT

    NAPLES, FL 341098712

    Phone: (239) 236-5448

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 206 Open Payments records for all available years, with a total value of $3,227.

Total Amount is formed as General ($3,227) + Research ($0) + Ownership ($0) = $3,227.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($802).

Total Amount

$3,227

General + Research + Ownership

Payments

206

Total payment records

General Amount

$3,227

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2023-10-14

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
I20231014000048INurse PractitionerFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33916)

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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: 2860619632View full group profile
NameSpecialtyState
Nurse PractitionerFL
Mental Health CounselorFL
Clinical Social WorkerIN
Clinical Social WorkerFL
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I verify SUSAN RUTH KIMPER (PMHNP-BC) with an NPI only?
You can start verification with NPI 1619602828 for SUSAN RUTH KIMPER (PMHNP-BC), then check state licensing separately.
Is SUSAN RUTH KIMPER (PMHNP-BC) still practicing?
SUSAN RUTH KIMPER (PMHNP-BC) is currently listed as active in the public NPI registry.
What healthcare role does SUSAN RUTH KIMPER (PMHNP-BC) hold?
Scheduling teams often label SUSAN RUTH KIMPER (PMHNP-BC) under Psychiatric/Mental Health Registered Nurse. Clinical services aligned with this taxonomy classification.
What area does SUSAN RUTH KIMPER (PMHNP-BC) serve?
SUSAN RUTH KIMPER (PMHNP-BC)'s listing highlights Fort Myers, Florida; more addresses can appear in NPPES.
Is the information about SUSAN RUTH KIMPER (PMHNP-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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