KIMBERLY CAROL ELLISON (NP) – Family Nurse Practitioner, NPI 1205094174
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
Loading map...
Provider Addresses for KIMBERLY CAROL ELLISON (NP)
1020, Terrace Drive, Pella, Marion County, Iowa, 50219, United States
STE 200
MARION, VA 243544393
Phone: (276) 783-7167
Type: Mailing
Terrace Drive, Scotts Mills, Marion County, Oregon, United States
MARION, VA 243544393
Phone: (276) 783-7167
Type: Location
770 W RIDGE RD STE 220
WYTHEVILLE, VA 243821187
Phone: (276) 223-3202
Type: Location
770 W RIDGE RD
WYTHEVILLE, VA 243821187
Phone: (276) 223-3200
Fax: (276) 223-0617
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $766.
Total Amount is formed as General ($766) + Research ($0) + Ownership ($0) = $766.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Alkermes, Inc. ($178).
Total Amount
$766
General + Research + Ownership
Payments
35
Total payment records
General Amount
$766
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $178 |
| Janssen Pharmaceuticals, Inc | $171 |
| Otsuka America Pharmaceutical, Inc. | $145 |
| Teva Pharmaceuticals USA, Inc. | $95 |
| ITI, Inc. | $75 |
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: 2014-06-02
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 |
|---|---|---|---|---|
| I20140602001416 | I | Nurse Practitioner | VA | 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 24354)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Mental Health Counselor | VA | |
| Mental Health Counselor | VA | |
| Nurse Practitioner | TN | |
| - | VA | |
| Mental Health Counselor | VA | |
| Clinical Social Worker | VA | |
| Clinical Social Worker | VA | |
| Clinical Social Worker | VA | |
| - | VA |
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.