Active NPI
Kimberly R Eberle, APRN-CNP
- Family Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0028427
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
- Atrium Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LE-00035311 | OH | MD | Nurse Practitioner |
| 71011194A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Mvhe Inc | Current | Accepting new patients | |
| Kettering Independent Medical Group Inc | Current | Accepting new patients | |
| Medicine Inpatient Group, LLC | Nurse Practitioner | Current | Accepting new patients |
| Hisey Physician Services, LLC | Nurse Practitioner | Current | Accepting new patients |
| Upper Valley Professional Corporation | Nurse Practitioner | Current | Accepting new patients |
| Mvhe Inc | Current | Accepting new patients | |
| Sinclair Physician Services, LLC | Nurse Practitioner | Current | 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.
-
- Hospitalist Physician
- Middletown, OH
- NPI 1073380614
Nurse Practitioner
-
- Hospitalist Physician
- Middletown, OH
- NPI 1326227307
Nurse Practitioner
-
- Family Medicine Physician
- Moraine, OH
- NPI 1659504785
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
-
- Family Medicine Physician
- Troy, OH
- NPI 1407872518
Nurse Practitioner
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
Nurse Practitioner
-
- Internal Medicine Physician
- Middletown, OH
- NPI 1497154827
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
-
- General Acute Care Hospital
- Hamilton, OH
- NPI 1104867167
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.