NICOLE JENNIFER GALLIMORE – Psychiatric/Mental Health Nurse Practitioner, NPI 1134876121
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for NICOLE JENNIFER GALLIMORE
5982 Rhodes Rd
Kent, OH 442408100
Phone: (330) 673-1347
Type: Location
150 E MARKET ST
WARREN, OH 444811141
Phone: (330) 394-6342
Fax: (330) 394-6029
Type: Mailing
5982 RHODES RD
KENT, OH 442408100
Phone: (330) 673-1347
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $436.
Total Amount is formed as General ($436) + Research ($0) + Ownership ($0) = $436.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: ABBVIE INC. ($251).
Total Amount
$436
General + Research + Ownership
Payments
26
Total payment records
General Amount
$436
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $251 |
| Teva Pharmaceuticals USA, Inc. | $72 |
| E.R. Squibb & Sons, L.L.C. | $27 |
| ITI, Inc. | $21 |
| Supernus Pharmaceuticals, Inc. | $18 |
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: 2022-04-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220414001671 | I | Nurse Practitioner | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 34 | 14 | $0 |
Insurance plans in this area (ZIP 44240)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OH | |
| P S Y C H I A T R Y | OH | |
| Certified Clinical Nurse Specialist (Cns) | OH | |
| Clinical Social Worker | OH | |
| Clinical Social Worker | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Clinical Social Worker | OH | |
| Clinical Social Worker | OH | |
| Nurse Practitioner | OH |
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