DR. KIMBERLY NICOLE MCNALLY (DNP, CNM, FNP-C) – Family Nurse Practitioner, NPI 1699037119
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
Provider Addresses for DR. KIMBERLY NICOLE MCNALLY (DNP, CNM, FNP-C)
PO BOX 3158
PORTLAND, OR 972083158
Phone: (503) 215-6494
Type: Mailing
12097 GAYTON RD
HENRICO, VA 232383401
Phone: (804) 381-9709
Fax: (804) 533-5997
Type: Location
1515 County Road B W
Roseville, MN 551136005
Phone: (866) 389-2727
Type: Location
701 PARK AVE
MINNEAPOLIS, MN 554151623
Phone: (612) 873-3000
Type: Mailing
5653 DULUTH ST
GOLDEN VALLEY, MN 554224054
Phone: (612) 873-6963
Type: Location
1814 BRIARCLIFF RD
RICHMOND, VA 232252306
Phone: (804) 381-9709
Type: Mailing
1909 HUGUENOT RD STE 201
NORTH CHESTERFIELD, VA 232354314
Phone: (804) 381-9709
Fax: (804) 533-5997
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2025-07-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20241017000110 | I | Nurse Practitioner | DC | TBD |
| I20250109002647 | I | Nurse Practitioner | VA | TBD |
| I20250714003080 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97208)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| - | MN | |
| Nurse Practitioner | PA | |
| Physician Assistant | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| - | MN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.