MRS. KIMBERLY NICOLE BLASIOLE (CNP) – Adult Health Nurse Practitioner, NPI 1114393931

MRS. KIMBERLY NICOLE BLASIOLE (CNP) is a healthcare provider. based in Akron, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. COA.17836-NP (OH). The NPI Number for MRS. KIMBERLY NICOLE BLASIOLE (CNP) is 1114393931

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY NICOLE BLASIOLE (CNP)
NPI
1114393931
Phone
(330) 344-1122
Address
1 AKRON GENERAL AVE
Enumeration Date
16 August 2015
Last Update Date
16 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
7719297001
Group Practice PAC ID
8426961061
Professional Enrollment ID
I20151117003174
Address ID
OH443072432AK1XXXXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MRS. KIMBERLY NICOLE BLASIOLE (CNP)

  • 1 AKRON GENERAL AVE

    AKRON, OH 443072432

    Phone: (330) 344-1122

    Fax: (330) 434-1453

    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 5 Open Payments records for all available years, with a total value of $148.

Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ConvaTec Inc. ($92).

Total Amount

$148

General + Research + Ownership

Payments

5

Total payment records

General Amount

$148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-11-17

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
I20151117003174INurse 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes251189$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 44307)

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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: 8426961061View full group profile
NameSpecialtyState
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

How is MRS. KIMBERLY NICOLE BLASIOLE (CNP) identified in CMS data?
CMS-hosted NPPES data lists MRS. KIMBERLY NICOLE BLASIOLE (CNP) with NPI 1114393931.
Does CMS list MRS. KIMBERLY NICOLE BLASIOLE (CNP) as active?
Yes — MRS. KIMBERLY NICOLE BLASIOLE (CNP) is active in the NPI listing used on this page.
What taxonomy line describes MRS. KIMBERLY NICOLE BLASIOLE (CNP)?
For research purposes, treat MRS. KIMBERLY NICOLE BLASIOLE (CNP) as Adult Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is MRS. KIMBERLY NICOLE BLASIOLE (CNP) based?
MRS. KIMBERLY NICOLE BLASIOLE (CNP) is tied to Akron, Ohio in the data we show; additional addresses may exist on the full record.
Is the information about MRS. KIMBERLY NICOLE BLASIOLE (CNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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