KIMBERLY EILEEN ANDERSON (CNP) – Family Nurse Practitioner, NPI 1154747855

KIMBERLY EILEEN ANDERSON (CNP) is a healthcare provider. based in Cambridge, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. COA.15690-NP (OH). The NPI Number for KIMBERLY EILEEN ANDERSON (CNP) is 1154747855

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY EILEEN ANDERSON (CNP)
NPI
1154747855
Phone
(740) 439-9911
Address
1230B CLARK ST
Enumeration Date
5 March 2014
Last Update Date
5 March 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7404219530
Graduation Year
2013 (13 years ago)
PAC ID
5890913198
Group Practice PAC ID
4789760216
Professional Enrollment ID
I20140828001277
Address ID
OH437259614CA1330XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for KIMBERLY EILEEN ANDERSON (CNP)

  • 1230B CLARK ST

    CAMBRIDGE, OH 437259611

    Phone: (740) 439-9911

    Fax: (740) 439-8993

    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 11 Open Payments records for all available years, with a total value of $3,568.

Total Amount is formed as General ($3,568) + Research ($0) + Ownership ($0) = $3,568.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ABBVIE INC. ($3,426).

Total Amount

$3,568

General + Research + Ownership

Payments

11

Total payment records

General Amount

$3,568

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2014-08-28

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
I20140828001277INurse 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
81003Automated urinalysis test2717$0
View full utilization report →

Insurance plans in this area (ZIP 43725)

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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: 4789760216View full group profile
NameSpecialtyState
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH
-OH
Family PracticeOH
Nurse PractitionerOH
-OH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH

Reviews

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Frequently asked questions

Can I cross-check KIMBERLY EILEEN ANDERSON (CNP) using NPI 1154747855?
NPI 1154747855 belongs to KIMBERLY EILEEN ANDERSON (CNP); compare other details if you need extra assurance.
Is KIMBERLY EILEEN ANDERSON (CNP) still an active registrant?
KIMBERLY EILEEN ANDERSON (CNP) carries an active NPI according to the public dataset.
What expertise is attributed to KIMBERLY EILEEN ANDERSON (CNP)?
KIMBERLY EILEEN ANDERSON (CNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KIMBERLY EILEEN ANDERSON (CNP) associated with Cambridge?
Public fields place KIMBERLY EILEEN ANDERSON (CNP) around Cambridge, Ohio. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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