MISS KIMBERLY A KLEAVELAND (FNP) – Family Nurse Practitioner, NPI 1043569437
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MISS KIMBERLY A KLEAVELAND (FNP)
PO BOX 670
BEND, OR 977090670
Phone: (541) 389-7741
Fax: (541) 278-8375
Type: Mailing
2175 NW SHEVLIN PARK RD
BEND, OR 977037101
Phone: (541) 389-7741
Fax: (541) 278-8375
Type: Location
190 E BANNOCK ST
BOISE, ID 837126241
Phone: (208) 367-5170
Type: Mailing
901 N Curtis Rd Ste 403
Boise, ID 837061342
Phone: (208) 367-6225
Fax: (208) 367-6279
Type: Location
2175 NW Shevlin Park Rd
Bend, OR 977037101
Phone: (541) 389-7741
Fax: (541) 278-8375
Type: Location
1055 N Curtis Rd
Boise, ID 837061309
Phone: (208) 367-6225
Fax: (208) 367-6279
Type: Location
5 Bucknam Rd
Suite 2B
Falmouth, ME 041051392
Phone: (207) 781-1600
Fax: (207) 781-1609
Type: Location
3525 E LOUISE DR STE 500
MERIDIAN, ID 836426305
Phone: (208) 706-7050
Fax: (208) 706-7059
Type: Location
3340 E GOLDSTONE DR
MERIDIAN, ID 836421026
Phone: (208) 367-5170
Fax: (208) 367-5180
Type: Mailing
901 N CURTIS RD STE 403
BOISE, ID 837061342
Phone: (208) 367-6225
Fax: (208) 367-6279
Type: Location
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 $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2023-10-20 • Largest payer in this snapshot: Novo Nordisk Inc ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $21 |
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: 2022-09-15
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 |
|---|---|---|---|---|
| I20220915000990 | I | Nurse Practitioner | ID | 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 97709)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OR | |
| Nurse Practitioner | OR | |
| A L L E R G Y/ I M M U N O L O G Y | OR | |
| Family Practice | OR | |
| - | OR | |
| - | OR | |
| Physician Assistant | OR | |
| Family Practice | OR | |
| Nurse Practitioner | OR | |
| Family Practice | OR |
Reviews
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