KIMBERLY ANN COTTON (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1194757385
Psychiatric/Mental Health Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KIMBERLY ANN COTTON (PMHNP)
1015 NW 22nd Ave
Portland, OR 972103025
Phone: (503) 413-7711
Type: Location
2211 NE 139th St
Vancouver, WA 986862742
Phone: (360) 487-1000
Type: Location
700 S Park St
Madison, WI 537151830
Phone: (608) 251-6100
Type: Location
1629 E Division St
River Falls, WI 540221571
Phone: (715) 307-6000
Type: Location
4050 Coon Rapids Blvd NW
Coon Rapids, MN 554332522
Phone: (763) 236-6000
Type: Location
2505 Mission Dr
Jefferson City, MO 651099508
Phone: (573) 681-3000
Type: Location
303 BRYANT ST
MOUNTAIN VIEW, CA 940411552
Phone: (888) 995-2230
Fax: (650) 242-7520
Type: Location
St. Mary's Hospital, 2505, Mission Drive, Jefferson City, Cole County, Missouri, 65109, United States
JEFFERSON CITY, MO 651099508
Phone: (573) 681-3000
Type: Location
5308, Vale Street, Hilltop, Greenville, Hunt County, Texas, 75402, United States
GREENVILLE, TX 754026436
Phone: (903) 780-6793
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 $27.
Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($27).
Total Amount
$27
General + Research + Ownership
Payments
1
Total payment records
General Amount
$27
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $27 |
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: 2020-11-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20050607000381 | I | Nurse Practitioner | TX | TBD |
| I20180416000101 | I | Nurse Practitioner | WA | TBD |
| I20180501000811 | I | Nurse Practitioner | OR | TBD |
| I20201109001267 | I | Nurse Practitioner | WI | 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 97210)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | OR | |
| Internal Medicine | CA | |
| Family Practice | WA | |
| Nurse Practitioner | CA | |
| Neurology, Hospice/Palliative Care | WA | |
| Nurse Practitioner | SD | |
| - | OR | |
| General Surgery | OR | |
| - | OR | |
| Internal Medicine | OR |
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