MS. KIMBERLY A TINDELL (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083341614

MS. KIMBERLY A TINDELL (PMHNP) is a healthcare provider. based in Akron, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. APRN.CNP.0032025 (OH). The NPI Number for MS. KIMBERLY A TINDELL (PMHNP) is 1083341614

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MS. KIMBERLY A TINDELL (PMHNP)
NPI
1083341614
Phone
(330) 253-3100
Address
340 S Broadway St
Enumeration Date
3 August 2022
Last Update Date
23 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3302708610
Graduation Year
2022 (4 years ago)
PAC ID
7517333966
Group Practice PAC ID
0941554133
Professional Enrollment ID
I20221026001843
Address ID
OH445151170AU5760XBLVD302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MS. KIMBERLY A TINDELL (PMHNP)

  • 340 S Broadway St

    Akron, OH 443081529

    Phone: (330) 253-3100

    Type: Location

  • 100 Superior St.

    Newton Falls, OH 444441529

    Phone: (330) 578-4300

    Type: Location

  • 11870 BEARD RD

    NEW SPRINGFIELD, OH 444439723

    Phone: (330) 610-6476

    Type: Mailing

  • 340 S BROADWAY ST

    AKRON, OH 443081529

    Phone: (330) 253-3100

    Type: Location

  • 5760 PATRIOT DRIVE

    AUSTINTOWN, OH 44515

    Phone: (330) 610-6476

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 75 Open Payments records for all available years, with a total value of $1,586.

Total Amount is formed as General ($1,586) + Research ($0) + Ownership ($0) = $1,586.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($247).

Total Amount

$1,586

General + Research + Ownership

Payments

75

Total payment records

General Amount

$1,586

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2022-10-26

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
I20221026001843INurse PractitionerOHTBD

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 44308)

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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: 0941554133View full group profile
NameSpecialtyState
Nurse PractitionerOH
-OH
Nurse PractitionerWV
Marriage And Family TherapistOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What number should I use to identify MS. KIMBERLY A TINDELL (PMHNP) for billing?
Administrative and clinical systems typically use NPI 1083341614 for MS. KIMBERLY A TINDELL (PMHNP).
Quick check: is MS. KIMBERLY A TINDELL (PMHNP) active?
Public NPPES data shows MS. KIMBERLY A TINDELL (PMHNP) with an active NPI status right now.
How should patients interpret MS. KIMBERLY A TINDELL (PMHNP)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for MS. KIMBERLY A TINDELL (PMHNP). Clinical services aligned with this taxonomy classification.
What city is tied to MS. KIMBERLY A TINDELL (PMHNP)?
The directory associates MS. KIMBERLY A TINDELL (PMHNP) with Akron, Ohio. Check all listed addresses for suites or satellite offices.
Who maintains MS. KIMBERLY A TINDELL (PMHNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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