Kimberly Vanik, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.16266-NP Issued in OH

Practice address

35717 Euclid Ave
Willoughby, OH 44094-4618

Phone

(440) 449-1540

NPI assigned

Oct 6, 2014

Last updated

Sep 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atrium Medical Group IncGroup PAC ID 4385626936, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Health Hospital, Concord, OH, CCN 360098

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kvanik220049@ehrdirect.uhhospitals.org

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

• Atrium Medical Group, Inc

  • Specialist
  • Willoughby, OH
  • NPI 1851340822
  Medicare reassignment Care Compare group NPD
• Lake Heart Center LLC

  • Interventional Cardiology Physician
  • Painesville, OH
  • NPI 1922419142
  NPD (past)

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

• Lake Hospital System Inc

  dba Lake Health

  • General Acute Care Hospital
  • Willoughby, OH
  • NPI 1972689172
  Care Compare affiliation

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1013310051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931596",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441931724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35717 EUCLID AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944618",
            "telephone_number": "440-449-1540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5966 Heisley Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440605849",
            "country_code": "US",
            "telephone_number": "440-449-1540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 Liberty St Ste B",
            "address_purpose": "LOCATION",
            "city": "Painesville",
            "state": "OH",
            "postal_code": "440773362",
            "country_code": "US",
            "telephone_number": "440-449-1540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Northline Cir Ste 99",
            "address_purpose": "LOCATION",
            "city": "Euclid",
            "state": "OH",
            "postal_code": "441191481",
            "country_code": "US",
            "telephone_number": "440-449-1540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6555 Wilson Mills Rd Ste 103D",
            "address_purpose": "LOCATION",
            "city": "Mayfield Village",
            "state": "OH",
            "postal_code": "441433435",
            "country_code": "US",
            "telephone_number": "440-449-1540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36100 Euclid Ave",
            "address_2": "Suite 270",
            "address_purpose": "LOCATION",
            "city": "Willoughby",
            "state": "OH",
            "postal_code": "440944456",
            "country_code": "US",
            "telephone_number": "440-946-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANIK",
        "first_name": "KIMBERLY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.16266-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112761",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.