KIMBERLY NICOLE HARER (MD) – Gastroenterology Physician, NPI 1235450990

KIMBERLY NICOLE HARER (MD) is a healthcare provider. based in Ann arbor, Michigan. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301112374 (MI). The NPI Number for KIMBERLY NICOLE HARER (MD) is 1235450990

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY NICOLE HARER (MD)
NPI
1235450990
Phone
(734) 647-5299
Address
3621 S STATE ST
Enumeration Date
17 June 2010
Last Update Date
14 December 2018

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
7346478901
Graduation Year
2010 (16 years ago)
PAC ID
3971776865
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20170825000031
Address ID
MI481090999AN1500XLEVE601
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

648 GASTROENTEROLOGY in MI

Provider Addresses for KIMBERLY NICOLE HARER (MD)

  • 3621 S STATE ST

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • 39901 TRADITIONS DRIVE

    SUITE 210

    NORTHVILLE, MI 48168

    Phone: (888) 229-7408

    Type: Location

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: 2017-08-25

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
I20170825000031IGastroenterologyMITBD

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 48108)

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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: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

Where can patients find KIMBERLY NICOLE HARER (MD)'s NPI?
You can confirm KIMBERLY NICOLE HARER (MD) with NPI 1235450990; it appears in the national provider directory.
Is KIMBERLY NICOLE HARER (MD) currently active in the NPI registry?
CMS-published data lists KIMBERLY NICOLE HARER (MD) as an active registrant.
What field does KIMBERLY NICOLE HARER (MD) work in?
You can think of KIMBERLY NICOLE HARER (MD) as practicing within Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where is KIMBERLY NICOLE HARER (MD)'s primary listing?
We display Ann Arbor, Michigan because that is what the record indicates for KIMBERLY NICOLE HARER (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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