KIMBERLY BALDOR (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1912699091

KIMBERLY BALDOR (PMHNP-BC) is a healthcare provider. based in Brandon, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 11026575 (FL). The NPI Number for KIMBERLY BALDOR (PMHNP-BC) is 1912699091

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY BALDOR (PMHNP-BC)
NPI
1912699091
Phone
Not provided
Address
PO BOX 6434
Enumeration Date
25 May 2023
Last Update Date
11 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8132774571
Graduation Year
2023 (3 years ago)
PAC ID
2860853306
Group Practice PAC ID
2961747506
Professional Enrollment ID
I20230801001892
Address ID
FL336145414TA5510XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for KIMBERLY BALDOR (PMHNP-BC)

  • PO BOX 6434

    BRANDON, FL 335086007

    Phone:

    Type: Mailing

  • 5510 N HESPERIDES ST

    TAMPA, FL 336145414

    Phone: (813) 467-6111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $305.

Total Amount is formed as General ($305) + Research ($0) + Ownership ($0) = $305.

Last reported payment date: 2024-05-22 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($121).

Total Amount

$305

General + Research + Ownership

Payments

4

Total payment records

General Amount

$305

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-08-01

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
I20230801001892INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes538316$0
90792Psychiatric diagnostic evaluation with medical services238237$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2626$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 33508)

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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: 2961747506View full group profile
NameSpecialtyState
Clinical PsychologistFL
Mental Health CounselorFL
Physician AssistantFL
Clinical PsychologistMI
Nurse PractitionerFL
-FL
Clinical Social WorkerFL
Nurse PractitionerOH
Physician AssistantFL
Clinical PsychologistFL

Reviews

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Frequently asked questions

How is KIMBERLY BALDOR (PMHNP-BC) identified in CMS data?
CMS-hosted NPPES data lists KIMBERLY BALDOR (PMHNP-BC) with NPI 1912699091.
Can I rely on KIMBERLY BALDOR (PMHNP-BC) being an active provider?
As of the registry snapshot, KIMBERLY BALDOR (PMHNP-BC) is marked active.
What taxonomy line describes KIMBERLY BALDOR (PMHNP-BC)?
For research purposes, treat KIMBERLY BALDOR (PMHNP-BC) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect KIMBERLY BALDOR (PMHNP-BC) on a map?
Expect Brandon, Florida as a primary anchor for KIMBERLY BALDOR (PMHNP-BC) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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