Individual provider Active NPI

Kimberly Kay Reese, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mason City, IA
National Provider Identifier
1295444099
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G171735 Issued in IA
Practice address
320 N Eisenhower Ave
Mason City, IA 50401-1521
Phone
(641) 424-2391
Fax
(641) 424-0783
NPI assigned
Nov 21, 2022
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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 G171735 IA Primary

Addresses

Primary practice location

320 N Eisenhower Ave
Mason City, IA 50401-1521

Mailing address

2723 N 28TH St
Fort Dodge, IA 50501-8801
Phone (712) 830-5261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20221223001140 IA Practitioner - Nurse Practitioner 3971973520 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Turnwell Mental Health of South Dakota, PCGroup PAC ID 0648712927, 30 clinicians

Practice addresses (Care Compare)

1800 Collaboration PL
Suite 110
Ames, IA 50010-9193
Phone (515) 994-8255

600 5TH St
Suite 100
Ames, IA 50010-6071
Phone (515) 500-6082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G171735IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Turnwell Mental Health of South Dakota, PC Psychiatry CurrentSince Nov 1, 2024 Accepting new patients
Prairie Ridge Integrated Behavioral Healthcare CurrentSince Nov 30, 2022 Accepting new patients
Integrative Counseling Solutions Inc. CurrentSince Nov 1, 2024 Accepting new patients
Prairie Ridge Integrated Behavioral Healthcare CurrentSince Nov 30, 2022 Accepting new patients

Locations

600 5th St
Ste 100
Ames, IA 50010
Phone (515) 233-1122

320 N Eisenhower Ave
Mason City, IA 50401
Phone (641) 423-1481

3737 Woodland Ave
Ste 410
West Des Moines, IA 50266
Phone (515) 267-1340

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1295444099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 N 28TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505018801",
            "telephone_number": "712-830-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N EISENHOWER AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011521",
            "telephone_number": "641-424-2391",
            "fax_number": "641-424-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G171735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.