KIMBERLY HIZER (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1528614047
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for KIMBERLY HIZER (PMHNP-BC)
1716, Hartford Street, Lafayette, Tippecanoe County, Indiana, 47904, United States
LAFAYETTE, IN 479042173
Phone: (765) 742-1567
Fax: (765) 429-2700
Type: Mailing
2620 Industrial Dr
Bedford, IN 474215661
Phone: (812) 675-8849
Fax: (812) 559-9192
Type: Location
7230 ARBUCKLE CMNS STE 203
BROWNSBURG, IN 461121795
Phone: (317) 554-7419
Fax: (812) 559-9192
Type: Location
1345 Corydon Ramsey Rd NW Ste 101
Corydon, IN 471122270
Phone: (812) 269-8577
Type: Location
2316, South Street, Lafayette, Tippecanoe County, Indiana, 47904, United States
LAFAYETTE, IN 479042971
Phone: (765) 742-1567
Fax: (765) 429-2700
Type: Location
6330 DIGITAL WAY
INDIANAPOLIS, IN 462781667
Phone: (317) 473-6688
Fax: (833) 645-0909
Type: Location
745 ABBEY RD
PITTSBORO, IN 461678994
Phone: (317) 554-7419
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $274.
Total Amount is formed as General ($274) + Research ($0) + Ownership ($0) = $274.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($146).
Total Amount
$274
General + Research + Ownership
Payments
7
Total payment records
General Amount
$274
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $146 |
| Janssen Pharmaceuticals, Inc | $124 |
| Corium, LLC | $5 |
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: 2019-09-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190904000418 | I | Nurse Practitioner | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Clinical Social Worker | IN | |
| Nurse Practitioner | IN |
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