MS. KIMBERLY KAY ANDERSON (APRN, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1124062161
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. KIMBERLY KAY ANDERSON (APRN, PMHNP)
201 RIDGE ST STE 307
COUNCIL BLUFFS, IA 515034643
Phone: (712) 329-5700
Fax: (712) 329-5759
Type: Mailing
Mercy Drive, Council Bluffs, Pottawattamie County, Iowa, 51503, United States
COUNCIL BLUFFS, IA 515033128
Phone: (712) 329-5700
Fax: (712) 329-5759
Type: Location
11404 W DODGE RD STE 600
OMAHA, NE 681542593
Phone: (402) 889-3633
Type: Location
906 S 184TH ST
ELKHORN, NE 680225756
Phone: (402) 889-3633
Fax: (531) 375-5196
Type: Mailing
11060 OAK ST STE 6
OMAHA, NE 681444244
Phone: (402) 889-3633
Fax: (531) 375-5196
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $171.
Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($72).
Total Amount
$171
General + Research + Ownership
Payments
8
Total payment records
General Amount
$171
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $72 |
| IDORSIA PHARMACEUTICALS US INC | $43 |
| ABBVIE INC. | $34 |
| Supernus Pharmaceuticals, Inc. | $23 |
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: 2006-07-19
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 |
|---|---|---|---|---|
| I20060719000328 | I | Nurse Practitioner | NE | 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 51503)
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