MRS. KIMBERLY LYNN TRUTZA (APRN) – Family Nurse Practitioner, NPI 1487108890

MRS. KIMBERLY LYNN TRUTZA (APRN) is a healthcare provider. based in Hiram, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 020232 (OH). The NPI Number for MRS. KIMBERLY LYNN TRUTZA (APRN) is 1487108890

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY LYNN TRUTZA (APRN)
NPI
1487108890
Phone
(216) 570-0908
Address
12965 GREYSTONE DR
Enumeration Date
15 August 2016
Last Update Date
13 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2165454800
Graduation Year
2016 (10 years ago)
PAC ID
7517248743
Group Practice PAC ID
2365789559
Professional Enrollment ID
I20161230001764
Address ID
OH441225603BE25501BLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

14,989 NURSE PRACTITIONER in OH

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Provider Addresses for MRS. KIMBERLY LYNN TRUTZA (APRN)

  • 12965 GREYSTONE DR

    HIRAM, OH 442349699

    Phone: (216) 570-0908

    Type: Mailing

  • Continuum Care Hospice, 12380, Plaza Drive, Parma, Cuyahoga County, Ohio, 44130, United States

    SUITE 101

    PARMA, OH 441301043

    Phone: (216) 898-8488

    Fax: (216) 362-0677

    Type: Location

  • 25501 CHAGRIN BLVD

    BEACHWOOD, OH 441225603

    Phone: (216) 545-4800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-12-30

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
I20161230001764INurse 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
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 44234)

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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: 2365789559View full group profile
NameSpecialtyState
Physician AssistantFL
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Where can patients find MRS. KIMBERLY LYNN TRUTZA (APRN)'s NPI?
You can confirm MRS. KIMBERLY LYNN TRUTZA (APRN) with NPI 1487108890; it appears in the national provider directory.
Is MRS. KIMBERLY LYNN TRUTZA (APRN) currently active in the NPI registry?
CMS-published data lists MRS. KIMBERLY LYNN TRUTZA (APRN) as an active registrant.
What field does MRS. KIMBERLY LYNN TRUTZA (APRN) work in?
You can think of MRS. KIMBERLY LYNN TRUTZA (APRN) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. KIMBERLY LYNN TRUTZA (APRN)?
The snapshot lists Hiram, Ohio for MRS. KIMBERLY LYNN TRUTZA (APRN); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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