KIMBERLEY DAWN JODREY (CNP) – Family Nurse Practitioner, NPI 1619316056
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for KIMBERLEY DAWN JODREY (CNP)
9354 MOUNT ORAB PIKE
GEORGETOWN, OH 451219342
Phone: (937) 378-2526
Fax: (937) 378-2540
Type: Mailing
17862 STATE ROUTE 247
SEAMAN, OH 45679
Phone: (937) 695-0748
Fax: (937) 695-1260
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2023-09-20 • Largest payer in this snapshot: Ethicon Inc. ($39).
Total Amount
$39
General + Research + Ownership
Payments
1
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon Inc. | $39 |
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: 2013-07-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1044 days ago).
Enrollment records
1
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| I20130725000447 | I | Nurse Practitioner | OH | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 | 268 | 125 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 156 | 94 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 64 | 52 | $0 |
| 83036 | Hemoglobin a1c level | 53 | 22 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 36 | 36 | $0 |
Insurance plans in this area (ZIP 45121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Internal Medicine | OH | |
| Family Practice | OH | |
| Physician Assistant | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH |
Reviews
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