KIMBERLY A NOLLETTE (ARNP) – Nurse Practitioner, NPI 1154491280

KIMBERLY A NOLLETTE (ARNP) is a healthcare provider. based in Spokane, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. RN00114221 (WA). The NPI Number for KIMBERLY A NOLLETTE (ARNP) is 1154491280

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY A NOLLETTE (ARNP)
NPI
1154491280
Phone
(509) 455-8820
Address
122 W 7th Ave
Enumeration Date
8 November 2006
Last Update Date
20 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094558820
Graduation Year
2000 (26 years ago)
PAC ID
0941340343
Group Practice PAC ID
8729258256
Professional Enrollment ID
I20091216000092
Address ID
WA991635517PU825XXBLVD404

Contacts

Secure Messaging
knollette220187@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness95
Years active:19State licenses:2Other names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for KIMBERLY A NOLLETTE (ARNP)

  • 122 W 7th Ave

    450

    Spokane, WA 992042349

    Phone: (509) 455-8820

    Fax: (509) 838-4978

    Type: Location

  • 62 W 7th Ave Ste 450

    Spokane, WA 992042321

    Phone: (509) 455-8820

    Fax: (509) 838-4978

    Type: Location

  • 212 E Central Ave Ste 240

    Spokane, WA 992086597

    Phone: (509) 482-2025

    Fax: (509) 838-4978

    Type: Location

  • PO BOX 31001-4114

    PASADENA, CA 911100001

    Phone: (866) 747-2455

    Type: Mailing

  • 62 W 7TH AVE STE 450

    SPOKANE, WA 992042321

    Phone: (509) 455-8820

    Fax: (509) 838-4978

    Type: Location

  • West 7th Avenue, Spokane, Spokane County, Washington, 99258, United States

    450

    SPOKANE, WA 992042349

    Phone: (509) 455-8820

    Fax: (509) 838-4978

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $1,185.

Total Amount is formed as General ($1,185) + Research ($0) + Ownership ($0) = $1,185.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Actelion Pharmaceuticals US, Inc. ($504).

Total Amount

$1,185

General + Research + Ownership

Payments

13

Total payment records

General Amount

$1,185

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2009-12-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091216000092INurse PractitionerWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes166108$0
99239Hospital discharge day management, more than 30 minutes3333$0
View full utilization report →

Insurance plans in this area (ZIP 99204)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729258256View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineWA
Nurse PractitionerWA
Interventional Cardiology, Cardiovascular Disease (Cardiology)WA
Cardiovascular Disease (Cardiology)WA
-WA
Cardiovascular Disease (Cardiology)WA
Interventional CardiologyWA
Physician AssistantMI
Nurse PractitionerCA
-WA

Reviews

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Frequently asked questions

What NPI should I save for KIMBERLY A NOLLETTE (ARNP)?
Save NPI 1154491280 if you need a stable reference for KIMBERLY A NOLLETTE (ARNP).
Is KIMBERLY A NOLLETTE (ARNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize KIMBERLY A NOLLETTE (ARNP)'s specialty in plain language?
Clinically, the directory lists KIMBERLY A NOLLETTE (ARNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KIMBERLY A NOLLETTE (ARNP)'s primary listing?
We display Spokane, Washington because that is what the record indicates for KIMBERLY A NOLLETTE (ARNP).
Is KIMBERLY A NOLLETTE (ARNP) a real provider?
This page reflects official NPPES data for NPI 1154491280. Always confirm identity and privileges with the practice and licensing boards.

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