KIMBERLY TALLIA (NURSE PRACTITIONER) – Adult Health Nurse Practitioner, NPI 1144635517

KIMBERLY TALLIA (NURSE PRACTITIONER) is a healthcare provider. based in Eatontown, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 26NJ00488700 (NJ). The NPI Number for KIMBERLY TALLIA (NURSE PRACTITIONER) is 1144635517

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY TALLIA (NURSE PRACTITIONER)
NPI
1144635517
Phone
(732) 389-5004
Address
142 ROUTE 35
Enumeration Date
24 June 2014
Last Update Date
24 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7322402277
Graduation Year
2013 (13 years ago)
PAC ID
4082832894
Group Practice PAC ID
5395980775
Professional Enrollment ID
I20140820000143
Address ID
NJ087532895TO1430XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for KIMBERLY TALLIA (NURSE PRACTITIONER)

  • 142 ROUTE 35

    SUITE 103

    EATONTOWN, NJ 077241876

    Phone: (732) 389-5004

    Fax: (732) 389-1850

    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)

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: 2014-08-20

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
I20140820000143INurse PractitionerNJTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes540200$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes437186$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes337299$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes228132$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes11377$0
View full utilization report →

Insurance plans in this area (ZIP 07724)

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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: 5395980775View full group profile
NameSpecialtyState
Pain Management, AnesthesiologyNH
-MA
Physical Medicine And RehabilitationKY
-NJ
A N E S T H E S I O L O G YNJ
Physical Medicine And RehabilitationNJ
Physical Medicine And RehabilitationNJ
-NJ
Interventional Pain Management, AnesthesiologyNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What NPI should I save for KIMBERLY TALLIA (NURSE PRACTITIONER)?
Save NPI 1144635517 if you need a stable reference for KIMBERLY TALLIA (NURSE PRACTITIONER).
Is KIMBERLY TALLIA (NURSE PRACTITIONER) currently active in the NPI registry?
CMS-published data lists KIMBERLY TALLIA (NURSE PRACTITIONER) as an active registrant.
What kind of provider is KIMBERLY TALLIA (NURSE PRACTITIONER)?
The page reflects Adult Health Nurse Practitioner for KIMBERLY TALLIA (NURSE PRACTITIONER). Clinical services aligned with this taxonomy classification.
Where is KIMBERLY TALLIA (NURSE PRACTITIONER)'s primary listing?
We display Eatontown, New Jersey because that is what the record indicates for KIMBERLY TALLIA (NURSE PRACTITIONER).
Is KIMBERLY TALLIA (NURSE PRACTITIONER) a real provider?
This page reflects official NPPES data for NPI 1144635517. Always confirm identity and privileges with the practice and licensing boards.

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