KIMBERLY J. HARDY (M.D.) – Family Medicine Physician, NPI 1063485878

KIMBERLY J. HARDY (M.D.) is a healthcare provider. based in La crosse, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 40144 (WI). The NPI Number for KIMBERLY J. HARDY (M.D.) is 1063485878

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY J. HARDY (M.D.)
NPI
1063485878
Phone
(608) 782-7300
Address
1836 SOUTH AVE
Enumeration Date
10 February 2006
Last Update Date
13 December 2014

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
6087827300
Graduation Year
1997 (29 years ago)
PAC ID
5193614972
Group Practice PAC ID
9638082779
Professional Enrollment ID
I20040311000224
Address ID
WI546015447LA724XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,063 FAMILY PRACTICE in WI

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Provider Addresses for KIMBERLY J. HARDY (M.D.)

  • 1836, South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States

    GUNDERSEN HEALTH SYSTEM

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    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)

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: 2004-03-11

PECOS data refreshed: 2026-06-15

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
I20040311000224IFamily PracticeWITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9967$0
99215Established patient office or other outpatient visit, 40-54 minutes5238$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5050$0
View full utilization report →

Insurance plans in this area (ZIP 54601)

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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: 9638082779View full group profile
NameSpecialtyState
Geriatric Medicine, Family Practice, Hospice/Palliative CareWI
-WI
Physician AssistantWI
-WI
O P T O M E T R YMN
O T O L A R Y N G O L O G YWI
Nurse PractitionerWI
P O D I A T R YWI
Oral SurgeryWI
Family PracticeNC

Reviews

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Frequently asked questions

What is the 10-digit NPI for KIMBERLY J. HARDY (M.D.)?
KIMBERLY J. HARDY (M.D.) — NPI 1063485878 — is the standard way to identify this listing.
Is KIMBERLY J. HARDY (M.D.) listed as active for patients and plans?
The listing shows KIMBERLY J. HARDY (M.D.) as active in the NPI system.
What healthcare role does KIMBERLY J. HARDY (M.D.) hold?
Scheduling teams often label KIMBERLY J. HARDY (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does KIMBERLY J. HARDY (M.D.) serve?
KIMBERLY J. HARDY (M.D.)'s listing highlights La Crosse, Wisconsin; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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