KIMBERLY ANN WEBB (NP) – Gerontology Nurse Practitioner, NPI 1700490216

KIMBERLY ANN WEBB (NP) is a healthcare provider. based in Wyandotte, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704286512 (MI). The NPI Number for KIMBERLY ANN WEBB (NP) is 1700490216

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ANN WEBB (NP)
NPI
1700490216
Phone
(734) 246-5705
Address
2300 BIDDLE AVE STE 100
Enumeration Date
2 September 2020
Last Update Date
15 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7342465705
Graduation Year
2019 (7 years ago)
PAC ID
5092115444
Group Practice PAC ID
4789694837
Professional Enrollment ID
I20210607002755
Address ID
MI481924650WY2300XAVEX303

Contacts

Secure Messaging
kwebb692850@direct.hfhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

Provider Addresses for KIMBERLY ANN WEBB (NP)

  • 2300 BIDDLE AVE STE 100

    WYANDOTTE, MI 481924650

    Phone: (734) 246-5705

    Fax: (734) 246-5750

    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)

CMS reports 27 Open Payments records for all available years, with a total value of $902.

Total Amount is formed as General ($902) + Research ($0) + Ownership ($0) = $902.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($282).

Total Amount

$902

General + Research + Ownership

Payments

27

Total payment records

General Amount

$902

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-06-07

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
I20210607002755INurse PractitionerMITBD

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 48192)

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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: 4789694837View full group profile
NameSpecialtyState
Internal MedicineMI
Internal MedicineMI
Clinical Social WorkerMI
Psychiatry, Internal MedicineMI
Family PracticeMI
Internal Medicine, Pediatric MedicineMI
Nurse PractitionerSC
Internal MedicineMI
Internal MedicineMI
Family PracticeMI

Reviews

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Frequently asked questions

What number should I use to identify KIMBERLY ANN WEBB (NP) for billing?
Administrative and clinical systems typically use NPI 1700490216 for KIMBERLY ANN WEBB (NP).
Should I treat KIMBERLY ANN WEBB (NP) as an active provider?
Patients and plans typically see KIMBERLY ANN WEBB (NP) as active in the national extract.
What services align with KIMBERLY ANN WEBB (NP)'s listing?
KIMBERLY ANN WEBB (NP)'s public classification highlights Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KIMBERLY ANN WEBB (NP)?
KIMBERLY ANN WEBB (NP) is associated with Wyandotte, Michigan in the same public data insurers reference.
Can I export KIMBERLY ANN WEBB (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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