Individual provider Active NPI

Kimberly Maag

  • Psychiatric/Mental Health Nurse Practitioner
  • Tiffin, OH
National Provider Identifier
1114779246
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN.478605 Issued in OH
Practice address
100 St Lawrence Dr
Tiffin, OH 44883
Phone
(567) 207-2230
NPI assigned
Apr 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN.478605 OH Primary

Addresses

Primary practice location

100 St Lawrence Dr
Tiffin, OH 44883

Mailing address

7046 State Route 12
Columbus Grove, OH 45830-9605
Phone (419) 969-4788

Other names 1

  • Ms. Kimberly Verhoff Former name

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
I20240611004223 OH Practitioner - Nurse Practitioner 2264974799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alcove Ventures LLCGroup PAC ID 1456669605, 50 clinicians

Practice addresses (Care Compare)

3567 Reserve Commons Dr
Suite 100
Medina, OH 44256-5344
Phone (330) 536-3746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.478605OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alcove Ventures LLC Psychiatric/Mental Health CurrentSince May 1, 2024 Accepting new patients

Locations

10603 Detroit Ave
Cleveland, OH 44102
Phone (216) 226-0282

3567 Reserve Commons Dr
Ste 100
Medina, OH 44256
Phone (330) 664-9250

3593 Medina Rd
Medina, OH 44256
Phone (330) 664-9250

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1114779246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7046 STATE ROUTE 12",
            "city": "COLUMBUS GROVE",
            "state": "OH",
            "postal_code": "458309605",
            "telephone_number": "419-969-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ST LAWRENCE DR",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "44883",
            "telephone_number": "567-207-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAG",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN.478605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "VERHOFF",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tiffin, OH

Sources for this page

Verify at the official NPI Registry.