DR. KIMBERLEY ARIANNE NERODA (MD) – Family Medicine Physician, NPI 1275895112

DR. KIMBERLEY ARIANNE NERODA (MD) is a healthcare provider. based in Cornelius, Oregon. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. MD171411 (OR). The NPI Number for DR. KIMBERLEY ARIANNE NERODA (MD) is 1275895112

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLEY ARIANNE NERODA (MD)
NPI
1275895112
Phone
(503) 352-8657
Address
PO BOX 568
Enumeration Date
15 June 2012
Last Update Date
29 October 2024

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5036017400
Graduation Year
2012 (14 years ago)
PAC ID
0042526733
Group Practice PAC ID
7113823881
Professional Enrollment ID
I20150825005849
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for DR. KIMBERLEY ARIANNE NERODA (MD)

  • PO BOX 568

    CORNELIUS, OR 971130568

    Phone: (503) 352-8657

    Fax: (503) 352-8658

    Type: Mailing

  • 226 SE 8TH AVE

    HILLSBORO, OR 971234218

    Phone: (503) 601-7400

    Fax: (503) 601-7311

    Type: Location

  • 10330 SE 32ND AVE STE 110

    MILWAUKIE, OR 972226596

    Phone: (503) 513-1300

    Type: Location

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: 2015-08-25

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
I20150825005849IInternal MedicineORTBD

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 97113)

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Provider's Procedures

DR. KIMBERLEY ARIANNE NERODA (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOR83036Hemoglobin A1C level2619

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: 7113823881View full group profile
NameSpecialtyState
Physician AssistantOR
Nurse PractitionerOR
-OR
Emergency Medicine, Family PracticeOR
Family PracticeOR
Physician AssistantOR
Physician AssistantOR
Mental Health CounselorTX
Physician AssistantOR
Family PracticeOR

Reviews

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Frequently asked questions

What is the standard ID for DR. KIMBERLEY ARIANNE NERODA (MD) in the U.S.?
In the U.S., DR. KIMBERLEY ARIANNE NERODA (MD) is identified by NPI 1275895112.
Is DR. KIMBERLEY ARIANNE NERODA (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. KIMBERLEY ARIANNE NERODA (MD) as active.
What services align with DR. KIMBERLEY ARIANNE NERODA (MD)'s listing?
DR. KIMBERLEY ARIANNE NERODA (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KIMBERLEY ARIANNE NERODA (MD)?
DR. KIMBERLEY ARIANNE NERODA (MD) is associated with Cornelius, Oregon in the same public data insurers reference.
Who maintains DR. KIMBERLEY ARIANNE NERODA (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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