KIMBERLY MICHELLE BAZEN (FNP-C) – Family Nurse Practitioner, NPI 1629691597
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 KIMBERLY MICHELLE BAZEN (FNP-C)
11690 Grooms Rd
Blue Ash, OH 452421412
Phone: (812) 284-2273
Fax: (812) 284-2279
Type: Location
16203 COUNTY ROAD 424
NAPOLEON, OH 435459609
Phone: (419) 762-5882
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $705.
Total Amount is formed as General ($705) + Research ($0) + Ownership ($0) = $705.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($133).
Total Amount
$705
General + Research + Ownership
Payments
18
Total payment records
General Amount
$705
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $133 |
| JAZZ PHARMACEUTICALS INC. | $125 |
| ABBVIE INC. | $125 |
| Lilly USA, LLC | $82 |
| Exact Sciences Corporation | $41 |
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: 2020-08-14
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 |
|---|---|---|---|---|
| I20200814002440 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 122 | 105 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 47 | 36 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 45242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Clinical Social Worker | KY | |
| Nurse Practitioner | OH |
Reviews
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