KIMBERLY HAGNER (ARNP) – Nurse Practitioner, NPI 1407005333
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KIMBERLY HAGNER (ARNP)
CHI Health Mercy Council Bluffs, 800, Mercy Drive, Council Bluffs, Pottawattamie County, Iowa, 51503, United States
COUNCIL BLUFFS, IA 515033128
Phone: (712) 328-5102
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-03-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20090624000421 | I | Nurse Practitioner | IA | TBD |
| I20190308002491 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 69 | 66 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 38 | 36 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 29 | 29 | $0 |
Insurance plans in this area (ZIP 51503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | CA | |
| Nurse Practitioner | NE | |
| - | SD | |
| - | OH | |
| - | ID | |
| - | PA |
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