MRS. KIMBERLY VERONICA WALLACE (CNM APRN) – Advanced Practice Midwife, NPI 1144881640
Advanced Practice Midwife
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. KIMBERLY VERONICA WALLACE (CNM APRN)
830 S Main St Ste 102
Orrville, OH 446672218
Phone: (330) 765-9104
Type: Location
2315 Myrtle St Ste 290
Erie, PA 165024609
Phone: (814) 452-5504
Fax: (814) 452-5514
Type: Location
3574, Melrose Drive, Wooster, Wayne County, Ohio, 44691, United States
WOOSTER, OH 446911857
Phone: (614) 370-1035
Type: Mailing
Lillian Gish Boulevard Southwest, Fourth Street Historic District, West Massillon, Massillon, Stark County, Ohio, 44647, United States
MASSILLON, OH 446476500
Phone: (330) 809-0460
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $147.
Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.
Last reported payment date: 2024-08-29 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).
Total Amount
$147
General + Research + Ownership
Payments
2
Total payment records
General Amount
$147
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $125 |
| OPKO Pharmaceuticals, LLC | $22 |
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: 2022-01-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20191002003056 | I | Certified Nurse Midwife (Cnm) | OH | TBD |
| I20220120001620 | I | Certified Nurse Midwife (Cnm) | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44667)
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Reviews
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