KIMBERLY CARLENE LETSON (APRN) – Acute Care Nurse Practitioner, NPI 1902462054

KIMBERLY CARLENE LETSON (APRN) is a healthcare provider. based in Stow, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. RN.313361 (OH). The NPI Number for KIMBERLY CARLENE LETSON (APRN) is 1902462054

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY CARLENE LETSON (APRN)
NPI
1902462054
Phone
(330) 807-5421
Address
4387 LEEWOOD RD
Enumeration Date
14 May 2019
Last Update Date
24 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3306641670
Graduation Year
2004 (22 years ago)
PAC ID
3375946684
Group Practice PAC ID
5890095293
Professional Enrollment ID
I20230925001179
Address ID
OH443339294FA3562XDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for KIMBERLY CARLENE LETSON (APRN)

  • 4387, Leewood Road, Stow, Summit County, Ohio, 44224, United States

    STOW, OH 442242520

    Phone: (330) 807-5421

    Type: Location

  • 3562 RIDGE PARK DR STE D1

    FAIRLAWN, OH 443339294

    Phone: (330) 664-1670

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $222.

Total Amount is formed as General ($222) + Research ($0) + Ownership ($0) = $222.

Last reported payment date: 2023-09-21 • Largest payer in this snapshot: SCILEX PHARMACEUTICALS INC. ($68).

Total Amount

$222

General + Research + Ownership

Payments

12

Total payment records

General Amount

$222

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-21

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: 2023-09-25

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
I20230925001179INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44224)

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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: 5890095293View full group profile
NameSpecialtyState
C H I R O P R A C T I COH

Reviews

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Frequently asked questions

Can I cross-check KIMBERLY CARLENE LETSON (APRN) using NPI 1902462054?
NPI 1902462054 belongs to KIMBERLY CARLENE LETSON (APRN); compare other details if you need extra assurance.
Is there an active status for KIMBERLY CARLENE LETSON (APRN)?
For scheduling context, KIMBERLY CARLENE LETSON (APRN) is shown as active in the registry.
What area of care is associated with KIMBERLY CARLENE LETSON (APRN)?
KIMBERLY CARLENE LETSON (APRN)'s record emphasizes Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KIMBERLY CARLENE LETSON (APRN)?
Travel planning: use Stow, Ohio as the reference point for KIMBERLY CARLENE LETSON (APRN), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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