Individual provider Active NPI

Kimberly A Lee, APRN-CNP

  • Nurse Practitioner
  • Lima, OH
National Provider Identifier
1205457595
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0027498 Issued in OH
Practice address
2740 W Market St
Lima, OH 45805-2120
Phone
(419) 221-2273
Fax
(419) 879-2461
NPI assigned
Apr 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0027498 OH Primary

Addresses

Primary practice location

2740 W Market St
Lima, OH 45805-2120

Mailing address

2740 W Market St
Lima, OH 45805-2120
Phone (419) 221-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL cancercare.OncoEMRDirect.com Direct

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
I20200923000211 OH Practitioner - Nurse Practitioner 3375962467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pandora Family Physicians, Inc.Group PAC ID 8123001963, 5 clinicians

Practice addresses (Care Compare)

202 Hilty Dr
Pandora, OH 45877-9478
Phone (419) 384-3251

Hospital & facility affiliations

  • Bluffton Hospital Hospital, Bluffton, OH, CCN 361322
  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009
  • Blanchard Valley Hospital Hospital, Findlay, OH, CCN 360095

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pandora Family Physicians, Inc. CurrentSince Aug 29, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

202 Hilty Dr
Pandora, OH 45877
Phone (419) 384-3251

Organizations & group practices 2

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 5

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": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1205457595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052120",
            "telephone_number": "419-221-2273",
            "fax_number": "419-879-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052120",
            "telephone_number": "419-221-2273",
            "fax_number": "419-879-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0027498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cancercare.OncoEMRDirect.com",
            "affiliation": "Y",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2740 W Market St",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458052120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.