MRS. KIMBERLY SUE MAYNARD (CRNP-F) – Family Nurse Practitioner, NPI 1063661635
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,767 NURSE PRACTITIONER in MD
Provider Addresses for MRS. KIMBERLY SUE MAYNARD (CRNP-F)
104 Parkview Dr
Grantsville, MD 215361086
Phone: (844) 652-8730
Fax: (301) 533-3299
Type: Location
1027 Memorial Dr
Oakland, MD 215504343
Phone: (301) 533-3300
Fax: (301) 533-3299
Type: Location
Westernport Road Southwest, McCoole, Allegany County, Maryland, 26750, United States
MCCOOLE, MD 215622206
Phone: (301) 533-3300
Fax: (301) 533-3299
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $767.
Total Amount is formed as General ($767) + Research ($0) + Ownership ($0) = $767.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: ABBVIE INC. ($161).
Total Amount
$767
General + Research + Ownership
Payments
43
Total payment records
General Amount
$767
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $161 |
| Astellas Pharma US Inc | $156 |
| Novo Nordisk Inc | $123 |
| AstraZeneca Pharmaceuticals LP | $63 |
| Exact Sciences Corporation | $55 |
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: 2015-03-27
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 |
|---|---|---|---|---|
| I20150327000855 | I | Nurse Practitioner | MD | 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 |
|---|---|---|---|---|
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 13 | 13 | $0 |
Insurance plans in this area (ZIP 21536)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WV | |
| Registered Dietitian Or Nutrition Professional | MD | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | MD | |
| Clinical Social Worker | MD | |
| - | MD | |
| Nurse Practitioner | MD | |
| Clinical Social Worker | MD | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | MD |
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