KIMBERLY ELLEN RODGERS (ARNP) – Nurse Practitioner, NPI 1477837326
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200317002754 | I | Nurse Practitioner | OR | TBD |
| I20210712003829 | I | Nurse Practitioner | MN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 60 | 59 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 35 | 33 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 15 | 14 | $0 |
Insurance plans in this area (ZIP 97439)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Family Practice | MN | |
| Internal Medicine | ONTARIO | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| Family Practice | AR |
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