KULLING NJI ABI – Psychiatric/Mental Health Nurse Practitioner, NPI 1104237684

KULLING NJI ABI is a healthcare provider. based in Kent, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. PN134199M-IV (OH). The NPI Number for KULLING NJI ABI is 1104237684

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
KULLING NJI ABI
NPI
1104237684
Phone
(330) 990-8071
Address
901 SIMON LN APT 103
Enumeration Date
18 May 2014
Deactivation Date
29 November 2021
Reactivation Date
14 December 2021
Last Update Date
15 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
21658767273402
Graduation Year
2021 (5 years ago)
PAC ID
2860885969
Group Practice PAC ID
6507895067
Professional Enrollment ID
I20220214001851
Address ID
OH442563336ME801XXSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for KULLING NJI ABI

  • 901 SIMON LN APT 103

    KENT, OH 442401742

    Phone: (330) 990-8071

    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)

CMS reports 124 Open Payments records for all available years, with a total value of $2,620.

Total Amount is formed as General ($2,620) + Research ($0) + Ownership ($0) = $2,620.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($559).

Total Amount

$2,620

General + Research + Ownership

Payments

124

Total payment records

General Amount

$2,620

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: 2022-02-14

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
I20220214001851INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9339$0
99214Established patient office or other outpatient visit, 30-39 minutes6932$0
View full utilization report →

Insurance plans in this area (ZIP 44240)

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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: 6507895067View full group profile
NameSpecialtyState
Clinical Social WorkerOH
P S Y C H I A T R YOH
P S Y C H I A T R YOH
-OH
Physician AssistantOH
Mental Health CounselorOH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

What unique ID ties claims to KULLING NJI ABI?
NPI 1104237684 is assigned to KULLING NJI ABI under the national enumeration system.
Is KULLING NJI ABI currently active in the NPI registry?
CMS-published data lists KULLING NJI ABI as an active registrant.
Does KULLING NJI ABI list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for KULLING NJI ABI. Clinical services aligned with this taxonomy classification.
What location metadata exists for KULLING NJI ABI?
The page summarizes Kent, Ohio for KULLING NJI ABI; expand the address list for detail.
Is KULLING NJI ABI a real provider?
This page reflects official NPPES data for NPI 1104237684. Always confirm identity and privileges with the practice and licensing boards.

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