MRS. KIMBERLY D MUELLER – Nurse Practitioner, NPI 1104489004

MRS. KIMBERLY D MUELLER is a healthcare provider. based in Omaha, Nebraska. specializing in NURSE PRACTITIONER. They hold a License No. 112745 (NE). The NPI Number for MRS. KIMBERLY D MUELLER is 1104489004

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY D MUELLER
NPI
1104489004
Phone
Not provided
Address
2532 N 167TH ST
Enumeration Date
16 April 2019
Last Update Date
5 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4028157100
Graduation Year
2018 (8 years ago)
PAC ID
6507239647
Group Practice PAC ID
4880506062
Professional Enrollment ID
I20230310000953
Address ID
NE680252411FR1240XSTXX401

Contacts

Secure Messaging
kmueller@mcrmed.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

2,112 NURSE PRACTITIONER in NE

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Provider Addresses for MRS. KIMBERLY D MUELLER

  • 2532 N 167TH ST

    OMAHA, NE 681167524

    Phone:

    Type: Mailing

  • 3319, North 107th Street, Omaha, Douglas County, Nebraska, 68134, United States

    OMAHA, NE 681343664

    Phone: (402) 933-6500

    Type: Location

  • PO BOX 3755

    OMAHA, NE 681030755

    Phone: (402) 354-2500

    Type: Mailing

  • 1240 E 23RD ST

    FREMONT, NE 680252411

    Phone: (402) 815-9741

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABBVIE INC. ($22).

Total Amount

$83

General + Research + Ownership

Payments

5

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

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: 2024-01-10

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
I20230310000953INurse PractitionerNETBD
I20240110001067INurse PractitionerIATBD

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 68116)

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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: 4880506062View full group profile
NameSpecialtyState
-IA
N E U R O L O G YNE
Family Practice, HospitalistIA
Nurse PractitionerNE
Internal MedicineNE
O B S T E T R I C S/ G Y N E C O L O G YNE
Infectious DiseaseNE
-NE
O B S T E T R I C S/ G Y N E C O L O G YNH
Cardiovascular Disease (Cardiology), Internal MedicineNE

Reviews

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Frequently asked questions

What is the standard ID for MRS. KIMBERLY D MUELLER in the U.S.?
In the U.S., MRS. KIMBERLY D MUELLER is identified by NPI 1104489004.
Should I treat MRS. KIMBERLY D MUELLER as an active provider?
Patients and plans typically see MRS. KIMBERLY D MUELLER as active in the national extract.
How should patients interpret MRS. KIMBERLY D MUELLER's specialty?
The extract shows Nurse Practitioner for MRS. KIMBERLY D MUELLER. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. KIMBERLY D MUELLER?
The directory associates MRS. KIMBERLY D MUELLER with Omaha, Nebraska. Check all listed addresses for suites or satellite offices.
Can I export MRS. KIMBERLY D MUELLER's record?
You can download the official NPPES record; we summarize key fields for readability.

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