MRS. KIMBERLY ANN DITZ (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1780889980
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
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Provider Addresses for MRS. KIMBERLY ANN DITZ (CRNP)
PO BOX 151
18 CAM- HAY DRIVE
LEWIS RUN, PA 167380151
Phone: (814) 362-6565
Fax: (814) 362-6415
Type: Mailing
800, East Main Street, Troy, Bradford County, Pennsylvania, 16947, United States
BRADFORD, PA 167013278
Phone: (814) 362-5250
Fax: (814) 362-2185
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 126 Open Payments records for all available years, with a total value of $1,858.
Total Amount is formed as General ($1,858) + Research ($0) + Ownership ($0) = $1,858.
Last reported payment date: 2024-12-15 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($286).
Total Amount
$1,858
General + Research + Ownership
Payments
126
Total payment records
General Amount
$1,858
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $286 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $273 |
| Alkermes, Inc. | $237 |
| ITI, Inc. | $225 |
| Lundbeck LLC | $135 |
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: 2009-03-13
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 |
|---|---|---|---|---|
| I20090313000436 | I | Nurse Practitioner | PA | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 234 | 65 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 16738)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | PA | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 165 | 62 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | PA | |
| Mental Health Counselor | PA | |
| Nurse Practitioner | PA | |
| P S Y C H I A T R Y | NY | |
| Mental Health Counselor | PA | |
| P S Y C H I A T R Y | PA | |
| Mental Health Counselor | PA | |
| - | WY | |
| Clinical Social Worker | PA | |
| - | NY |
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