KIMBERLY ANN ASHMORE (NP) – Family Nurse Practitioner, NPI 1104581123

KIMBERLY ANN ASHMORE (NP) is a healthcare provider. based in Hayden, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 39558 (ID). The NPI Number for KIMBERLY ANN ASHMORE (NP) is 1104581123

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ANN ASHMORE (NP)
NPI
1104581123
Phone
(208) 415-0299
Address
PO BOX 1387
Enumeration Date
4 November 2021
Last Update Date
10 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2082920290
Graduation Year
2023 (3 years ago)
PAC ID
5597128454
Group Practice PAC ID
2466353354
Professional Enrollment ID
I20230825001656
Address ID
ID838142785CO1090XPLXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for KIMBERLY ANN ASHMORE (NP)

  • PO BOX 1387

    HAYDEN, ID 838351387

    Phone: (208) 415-0299

    Fax: (208) 625-2070

    Type: Mailing

  • 1090 W PARK PL

    COEUR D ALENE, ID 838142785

    Phone: (208) 215-2005

    Fax: (844) 807-3782

    Type: Location

  • 30 HUNTER LN

    CAMP HILL, PA 170112400

    Phone:

    Type: Mailing

  • 208 W IRONWOOD DR

    COEUR D ALENE, ID 838142640

    Phone: (208) 664-3185

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Amgen Inc. ($21).

Total Amount

$54

General + Research + Ownership

Payments

3

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

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: 2023-08-25

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
I20230825001656INurse PractitionerIDTBD

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 83835)

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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: 2466353354View full group profile
NameSpecialtyState
Nurse Practitioner, Certified Nurse Midwife (Cnm)WA
Mental Health CounselorID
Clinical Social WorkerID
Physician AssistantID
Physician AssistantID
Clinical Social WorkerID
Nurse PractitionerID
Clinical Social WorkerID
Physician AssistantID
Family PracticeID

Reviews

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Frequently asked questions

How is KIMBERLY ANN ASHMORE (NP) identified in CMS data?
CMS-hosted NPPES data lists KIMBERLY ANN ASHMORE (NP) with NPI 1104581123.
Does CMS list KIMBERLY ANN ASHMORE (NP) as active?
Yes — KIMBERLY ANN ASHMORE (NP) is active in the NPI listing used on this page.
What is KIMBERLY ANN ASHMORE (NP)'s primary classification?
Family Nurse Practitioner is the headline specialty for KIMBERLY ANN ASHMORE (NP) here. Clinical services aligned with this taxonomy classification.
What address line appears for KIMBERLY ANN ASHMORE (NP)?
KIMBERLY ANN ASHMORE (NP)'s geographic hint is Hayden, Idaho 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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