KIMBERLY ELLEN RODGERS (ARNP) – Nurse Practitioner, NPI 1477837326

KIMBERLY ELLEN RODGERS (ARNP) is a healthcare provider. based in Florence, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 201910822NP-PP (OR). The NPI Number for KIMBERLY ELLEN RODGERS (ARNP) is 1477837326

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ELLEN RODGERS (ARNP)
NPI
1477837326
Phone
(541) 997-8412
Address
400 9th St
Enumeration Date
10 October 2011
Last Update Date
20 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5076254031
Graduation Year
2011 (15 years ago)
PAC ID
9638345648
Group Practice PAC ID
4688585771
Professional Enrollment ID
I20210712003829
Address ID
MN560014752MA1025XSTXX300

Contacts

Secure Messaging
krodgers1443404@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

3,379 NURSE PRACTITIONER in OR

Provider Addresses for KIMBERLY ELLEN RODGERS (ARNP)

  • 400 9th St

    Florence, OR 974397398

    Phone: (541) 997-8412

    Fax: (541) 992-1320

    Type: Location

  • 380 9th St

    Florence, OR 974399470

    Phone: (541) 997-7134

    Fax: (541) 902-1320

    Type: Location

  • 2811 Tieton Dr

    Yakima, WA 989023761

    Phone: (509) 575-8100

    Type: Location

  • 390 9th St

    Florence, OR 974399470

    Phone: (541) 997-7134

    Fax: (541) 902-1319

    Type: Location

  • 390 9TH ST

    FLORENCE, OR 974399470

    Phone: (541) 997-7134

    Fax: (541) 902-1319

    Type: Location

  • 1115 SE 164TH AVE DEPT 358

    VANCOUVER, WA 986838004

    Phone: (360) 729-1253

    Fax: (360) 729-3185

    Type: Mailing

  • 1000 1ST DR NW

    AUSTIN, MN 559122941

    Phone: (507) 433-7351

    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: 2021-07-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200317002754INurse PractitionerORTBD
I20210712003829INurse PractitionerMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making6059$0
99284Emergency department visit with moderate level of medical decision making3533$0
99283Emergency department visit with low level of medical decision making1514$0
View full utilization report →

Insurance plans in this area (ZIP 97439)

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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: 4688585771View full group profile
NameSpecialtyState
Nurse PractitionerTN
Family PracticeMN
-MN
-MN
Certified Registered Nurse Anesthetist (Crna)MN
Family PracticeMN
Internal MedicineONTARIO
Nurse PractitionerMN
Family PracticeMN
Family PracticeAR

Reviews

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Frequently asked questions

What federal number belongs to KIMBERLY ELLEN RODGERS (ARNP)?
The federal identifier for KIMBERLY ELLEN RODGERS (ARNP) is NPI 1477837326.
Does this profile mean KIMBERLY ELLEN RODGERS (ARNP) is currently active?
Yes — KIMBERLY ELLEN RODGERS (ARNP) appears active in the national provider directory.
What field does KIMBERLY ELLEN RODGERS (ARNP) work in?
You can think of KIMBERLY ELLEN RODGERS (ARNP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for KIMBERLY ELLEN RODGERS (ARNP)?
We surface Florence, Oregon for KIMBERLY ELLEN RODGERS (ARNP) based on available NPPES addresses.
What if Florence, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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