KIMBERLY D MCINTYRE (ACNS-BC) – Adult Health Clinical Nurse Specialist, NPI 1871921759
Adult Health Clinical Nurse Specialist
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Profile Insights
NPPES metrics only — not quality of care.
228 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in OH
Provider Addresses for KIMBERLY D MCINTYRE (ACNS-BC)
1 PRESTIGE PL
SUITE 550
MIAMISBURG, OH 453423794
Phone: (937) 752-2306
Fax: (937) 522-7626
Type: Mailing
4000 MIAMISBURG CENTERVILLE RD
SUITE 435
MIAMISBURG, OH 453427615
Phone: (937) 384-4511
Fax: (937) 384-4501
Type: Location
801 E 6th St Ste 606
Panama City, FL 324013645
Phone: (850) 913-6960
Fax: (850) 608-6434
Type: Location
3737 SOUTHERN BLVD STE 2100
KETTERING, OH 454291285
Phone: (937) 433-5309
Type: Location
801 E 6TH ST STE 606
PANAMA CITY, FL 324013645
Phone: (850) 913-6960
Fax: (850) 608-6434
Type: Location
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 322163623
Phone: (904) 450-6063
Fax: (904) 539-4091
Type: Mailing
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: 2021-09-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20150318002651 | I | Certified Clinical Nurse Specialist (Cns) | OH | TBD |
| I20210920002965 | I | Nurse Practitioner | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45342)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Radiation Oncology | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Orthopedic Surgery | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Vascular Surgery | OH | |
| Registered Dietitian Or Nutrition Professional | OH |
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