KIMBERLY A LOOMIS (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1679049308
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for KIMBERLY A LOOMIS (NP)
702 W LAKE LANSING RD
EAST LANSING, MI 488238526
Phone: (517) 332-5342
Fax: (517) 316-2893
Type: Location
6110, Abbot Road, Chandler Crossings, East Lansing, DeWitt Charter Township, Ingham County, Michigan, 48823, United States
EAST LANSING, MI 488231410
Phone: (332) 517-5342
Type: Location
Howell, Box Elder County, Utah, 84316, United States
HOWELL, MI 488442337
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 162 Open Payments records for all available years, with a total value of $3,237.
Total Amount is formed as General ($3,237) + Research ($0) + Ownership ($0) = $3,237.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Alkermes, Inc. ($368).
Total Amount
$3,237
General + Research + Ownership
Payments
162
Total payment records
General Amount
$3,237
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $368 |
| Otsuka America Pharmaceutical, Inc. | $360 |
| Supernus Pharmaceuticals, Inc. | $360 |
| ABBVIE INC. | $210 |
| Corium, LLC | $207 |
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: 2020-06-12
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 |
|---|---|---|---|---|
| I20200612000127 | I | Nurse Practitioner | MI | 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 48823)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | CA | |
| Nurse Practitioner | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| - | NM | |
| Clinical Social Worker | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Nurse Practitioner | MI |
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