KIMBERLY J NELSON (NP) – Nurse Practitioner, NPI 1700993441

KIMBERLY J NELSON (NP) is a healthcare provider. based in Saint joseph, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704164646 (MI). The NPI Number for KIMBERLY J NELSON (NP) is 1700993441

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY J NELSON (NP)
NPI
1700993441
Phone
(269) 429-7100
Address
4025 HEALTH PARK LN
Enumeration Date
25 August 2006
Last Update Date
24 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
5799837597
Professional Enrollment ID
I20091222000720
Address ID
IN468154631FO3512XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for KIMBERLY J NELSON (NP)

  • 4025 HEALTH PARK LN

    SAINT JOSEPH, MI 490853421

    Phone: (269) 429-7100

    Fax: (269) 429-1959

    Type: Location

  • 4368 CLEVELAND AVE

    STEVENSVILLE, MI 491279595

    Phone: (269) 983-6501

    Fax: (269) 983-2237

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-03-02 • Largest payer in this snapshot: ABBVIE INC. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$18
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: 2009-12-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090708000546INurse PractitionerMITBD
I20091222000720INurse PractitionerINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes436166$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes28695$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes6046$0
36415Insertion of needle into vein for collection of blood sample4538$0
99316Nursing facility discharge management, more than 30 minutes4542$0
View full utilization report →

Insurance plans in this area (ZIP 49085)

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Reviews

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Frequently asked questions

What is the registry number for KIMBERLY J NELSON (NP)?
The registry entry for KIMBERLY J NELSON (NP) shows NPI 1700993441.
Is KIMBERLY J NELSON (NP) currently accepting referrals based on NPI status?
Registry metadata lists KIMBERLY J NELSON (NP) as active.
What services align with KIMBERLY J NELSON (NP)'s listing?
KIMBERLY J NELSON (NP)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to KIMBERLY J NELSON (NP)?
KIMBERLY J NELSON (NP) shows a connection to Saint Joseph, Michigan in registry-derived data.
Why is information missing for KIMBERLY J NELSON (NP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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