Individual provider Active NPI

Kimberly R Eberle, APRN-CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1457944704
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028427 Issued in OH
Practice address
460 W 10TH Ave FL 5
Columbus, OH 43210-1240
Phone
(614) 293-3196
Fax
(614) 293-4812
NPI assigned
Feb 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LE-00035311 OH
Nurse Practitioner 363L00000X 10228 CT
Family Nurse Practitioner 363LF0000X 71011194A IN
Family Nurse Practitioner 363LF0000X APRN.CNP.0028427 OH Primary

Addresses

Primary practice location

460 W 10TH Ave FL 5
Columbus, OH 43210-1240

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-3196

Other practice location 1

7182 Liberty Centre Dr Ste N
West Chester, OH 45069-6585
Phone (513) 889-5435

Other practice location 2

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-4677

Other practice location 3

500 W Votaw St Ste A
Portland, IN 47371-1322
Phone (260) 726-4350

Other practice location 4

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-6665

Other names 1

  • Kimberly Renee Runnells Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220203001717 CT Practitioner - Nurse Practitioner 9133512783 Reassigns benefits to 1 organization
I20240122001725 OH Practitioner - Nurse Practitioner 9133512783 Reassigns benefits to 6 organizations

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
Medicine Inpatient Group LLCGroup PAC ID 3577645340, 39 clinicians
Hisey Physician Services, LLCGroup PAC ID 8426495292, 43 clinicians
Mvhe IncGroup PAC ID 9537066584, 399 clinicians

Practice addresses (Care Compare)

Middletown, OH 45005
Phone (513) 874-0486

1 Medical Ctr Dr
Middletown, OH 45005-2584
Phone (513) 974-2111

2400 Miami Valley Dr
Centerville, OH 45459-4774
Phone (937) 208-8394

2451 Wayne Ave
Dayton, OH 45420-1893
Phone (937) 252-1831

Hospital & facility affiliations

  • Fort Hamilton Hughes Memorial Hospital Hospital, Hamilton, OH, CCN 360132
  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LE-00035311OHMDNurse Practitioner
71011194AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Nurse Practitioner CurrentSince Jan 3, 2022 Accepting new patients
Mvhe Inc CurrentSince Sep 14, 2025 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Medicine Inpatient Group, LLC Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Hisey Physician Services, LLC Nurse Practitioner CurrentSince May 24, 2024 Accepting new patients
Upper Valley Professional Corporation Nurse Practitioner CurrentSince Sep 14, 2025 Accepting new patients
Mvhe Inc CurrentSince Sep 14, 2025 Accepting new patients
Sinclair Physician Services, LLC Nurse Practitioner CurrentSince May 24, 2024 Accepting new patients
Mvhe Inc Nurse Practitioner Past Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

1 Wyoming St
#3100B
Dayton, OH 45409

2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

6730 Roosevelt Ave
Ste 303
Middletown, OH 45005
Phone (513) 618-7430

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

Organizations & group practices 9

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": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1457944704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-3196",
            "fax_number": "614-293-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W 10TH AVE FL 5",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-293-3196",
            "fax_number": "614-293-4812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7182 Liberty Centre Dr Ste N",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450696585",
            "country_code": "US",
            "telephone_number": "513-889-5435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "267 Grant St",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066102805",
            "country_code": "US",
            "telephone_number": "203-384-4677",
            "fax_number": "203-384-3135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Votaw St Ste A",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "IN",
            "postal_code": "473711322",
            "country_code": "US",
            "telephone_number": "260-726-4350",
            "fax_number": "260-726-9345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291221",
            "country_code": "US",
            "telephone_number": "937-395-6665",
            "fax_number": "937-395-6668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBERLE",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "LE-00035311",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "10228",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011194A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "RUNNELLS",
            "middle_name": "RENEE",
            "credential": "APRN-CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.