KEVIN LIEBMANN – Nurse Practitioner, NPI 1154939064

KEVIN LIEBMANN is a healthcare provider. based in Princeton, New Jersey. specializing in NURSE PRACTITIONER. They hold a License No. 346148 (NY). The NPI Number for KEVIN LIEBMANN is 1154939064

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN LIEBMANN
NPI
1154939064
Phone
(609) 683-4999
Address
208 BUNN DR
Enumeration Date
16 July 2020
Last Update Date
9 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6096834999
Graduation Year
2020 (6 years ago)
PAC ID
1153734744
Group Practice PAC ID
1052377215
Professional Enrollment ID
I20201228000646
Address ID
NJ085402851PR208XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for KEVIN LIEBMANN

  • 208 BUNN DR

    PRINCETON, NJ 085402851

    Phone: (609) 683-4999

    Type: Location

  • 208 BUNN DRIVE

    PRINCETON, NJ 085406493

    Phone: (609) 683-4999

    Type: Mailing

  • 4210 WESSEX PL

    PRINCETON, NJ 085406493

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $889.

Total Amount is formed as General ($889) + Research ($0) + Ownership ($0) = $889.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($224).

Total Amount

$889

General + Research + Ownership

Payments

38

Total payment records

General Amount

$889

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2020-12-28

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
I20201228000646INurse 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
17003Destruction of precancer skin growth, 2-14 growths1,295222$0
99213Established patient office or other outpatient visit, 20-29 minutes665444$0
17000Destruction of precancer skin growth, 1 growth427294$0
11102Biopsy of related skin growth, first growth333267$0
17110Destruction of skin growth, 1-14 growths182138$0
View full utilization report →

Insurance plans in this area (ZIP 08540)

Loading plans...

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: 1052377215View full group profile
NameSpecialtyState
-NJ
D E R M A T O L O G YNJ
D E R M A T O L O G YNJ
Nurse PractitionerNJ
D E R M A T O L O G YNY
Physician AssistantNJ
D E R M A T O L O G YPA
-NJ
Nurse PractitionerNJ
Nurse PractitionerNJ

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for KEVIN LIEBMANN in U.S. healthcare records?
The official identifier for KEVIN LIEBMANN is NPI 1154939064.
Is there an active status for KEVIN LIEBMANN?
For scheduling context, KEVIN LIEBMANN is shown as active in the registry.
How would a patient describe KEVIN LIEBMANN's focus?
For KEVIN LIEBMANN, the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in New Jersey is KEVIN LIEBMANN registered?
Use Princeton, New Jersey as the headline location for KEVIN LIEBMANN here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

76, River Birch Circle, Montgomery Township, Somerset County, New Jersey, 08540, United States
NPI: 1912962135
419, North Harrison Street, North Princeton, Princeton, Mercer County, New Jersey, 08540, United States
NPI: 1740248053

DIANE LORI ALBALA (NP)

Nurse Practitioner
307, South Evergreen Avenue, Woodbury, Gloucester County, New Jersey, 08096, United States
NPI: 1275567687

CAROL A BURNS (CNS)

Nurse Practitioner
Princeton Post Office, 621, East Princeton Drive, Princeton, Collin County, Texas, 75407, United States
NPI: 1477643252

PRINCETON ANESTHESIA SERVICES, PC

Anesthesiology Physician
281, Witherspoon Street, North Princeton, Princeton, Mercer County, New Jersey, 08540, United States
NPI: 1295810976

STEFANIE NICOSIA (APN)

Nurse Practitioner
731 ALEXANDER RD STE 202
NPI: 1073950382

MRS. LAURA WIEBER (ARNP)

Nurse Practitioner
510 CARNEGIE CTR STE 600
NPI: 1013311901

KRISTIN M FAWCETT (NP)

Pediatric Nurse Practitioner
401 ROUTE 73 N BLDG 10, SUITE 320
NPI: 1548652704
833 CASS ST
NPI: 1174906028