Individual provider Active NPI

Kimberly Kay Myers, N.P.

  • Family Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1003258773
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN.274080 Issued in OH
Practice address
240 W Elmwood Dr
Suite 1000
Dayton, OH 45459-4296
Phone
(937) 224-8200
Fax
(937) 224-1770
NPI assigned
Jul 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X COA-14823-NP OH
Family Nurse Practitioner 363LF0000X RN.274080 OH Primary

Addresses

Primary practice location

240 W Elmwood Dr
Suite 1000
Dayton, OH 45459-4296

Mailing address

240 W Elmwood Dr
Suite 1000
Dayton, OH 45459-4296
Phone (937) 224-8200

Other identifiers 1

IdentifierTypeStateIssuer
110086MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130828000949 OH Practitioner - Nurse Practitioner 7416190145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pure Healthcare LLCGroup PAC ID 1456648989, 21 clinicians

Practice addresses (Care Compare)

7575 Paragon Rd
Dayton, OH 45459-5316
Phone (937) 684-2802

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.04 of 100Reported as group
Quality
29.8
Improvement activities
40
Cost
76.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.274080OHMDFamily Nurse Practitioner
COA-14823-NPOHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Healthcare LLC CurrentSince Aug 1, 2023 Accepting new patients
Lifecare Hospice Past Accepting new patients
The Hospice of Dayton, Inc. PastSince Aug 1, 2023 Accepting new patients

Locations

1109 Eastern Ave
Ashland, OH 44805
Phone (330) 264-4899

2200 Miami Valley Dr
Dayton, OH 45459
Phone (937) 668-7873

7575 Paragon Rd
Dayton, OH 45459
Phone (937) 256-4490

1263 Glen Dr
Millersburg, OH 44654

1263 Glen Dr
#B
Millersburg, OH 44654
Phone (330) 264-4899

716 Commercial Ave SW
New Philadelphia, OH 44663
Phone (330) 343-7605

2269 Cherry Valley Rd SE
Newark, OH 43055
Phone (740) 344-0311

1900 Akron Rd
Wooster, OH 44691
Phone (330) 264-4899

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1003258773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W ELMWOOD DR",
            "address_2": "SUITE 1000",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594296",
            "telephone_number": "937-224-8200",
            "fax_number": "937-224-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W ELMWOOD DR",
            "address_2": "SUITE 1000",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594296",
            "telephone_number": "937-224-8200",
            "fax_number": "937-224-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "COA-14823-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.274080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110086",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.