KIMBERLY ANN KYLLO-MARTIN (FNP-PP) – Nurse Practitioner, NPI 1649849142
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for KIMBERLY ANN KYLLO-MARTIN (FNP-PP)
1900 WOODLAND DR
COOS BAY, OR 974202099
Phone: (541) 267-5151
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $404.
Total Amount is formed as General ($404) + Research ($0) + Ownership ($0) = $404.
Last reported payment date: 2024-02-06 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($183).
Total Amount
$404
General + Research + Ownership
Payments
8
Total payment records
General Amount
$404
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $183 |
| Edwards Lifesciences Corporation | $154 |
| ABBVIE INC. | $36 |
| PFIZER INC. | $31 |
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: 2021-06-29
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 |
|---|---|---|---|---|
| I20210629002256 | I | Nurse Practitioner | OR | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 275 | 155 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 271 | 166 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 151 | 151 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 118 | 85 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 85 | 11 | $0 |
Insurance plans in this area (ZIP 97420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| Family Practice | ME | |
| Physical Therapist In Private Practice | OR | |
| Orthopedic Surgery | OR | |
| Orthopedic Surgery | OR | |
| Orthopedic Surgery | OR | |
| Interventional Pain Management, Obstetrics/Gynecology | OR | |
| Family Practice | OR | |
| General Surgery | OR | |
| Nurse Practitioner | OR |
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