Individual provider Active NPI

Kimberly Jo Learn, APRN

  • Family Medicine Physician
  • Austintown, OH
National Provider Identifier
1487240065
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN.CNP.0027781 Issued in OH
Practice address
3897 Lanterman Rd
Austintown, OH 44515-1317
Phone
(133) 065-1026
Fax
(330) 792-7146
NPI assigned
Dec 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN.CNP.0027781 OH Primary

Addresses

Primary practice location

3897 Lanterman Rd
Austintown, OH 44515-1317

Mailing address

3897 Lanterman Rd
Austintown, OH 44515-1317
Phone (330) 651-0268

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
I20220602001463 OH Practitioner - Nurse Practitioner 5698170165 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

Practice addresses (Care Compare)

5170 Belmont Ave
Youngstown, OH 44505-1022
Phone (330) 759-1080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

5170 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-1080

Interoperability endpoints

  • Direct secure messaging: klearn843135@direct.bsmhealth.org
  • Direct secure messaging: klearn20432@nomshealthcare.direct-ci.com

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 3

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": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1487240065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3897 LANTERMAN RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151317",
            "telephone_number": "330-651-0268",
            "fax_number": "330-792-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3897 LANTERMAN RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151317",
            "telephone_number": "133-065-1026",
            "fax_number": "330-792-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARN",
        "first_name": "KIMBERLY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "APRN.CNP.0027781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

Verify at the official NPI Registry.