Individual provider Active NPI

Kimberly Hame, APRN-C

  • Nurse Practitioner
  • Parma, OH
National Provider Identifier
1508375189
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9487876 Issued in FL
Practice address
12380 Plaza Dr
Parma, OH 44130-1043
Phone
(216) 898-8488
Fax
(216) 362-0677
NPI assigned
Sep 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9487876 FL Primary
Nurse Practitioner 363L00000X APRN.CNOP.021776 OH

Addresses

Primary practice location

12380 Plaza Dr
Parma, OH 44130-1043

Mailing address

12380 Plaza Dr
Parma, OH 44130-1043
Phone (216) 898-8488

Other identifiers 3

IdentifierTypeStateIssuer
0257916MedicaidOH
100579900MedicaidFL
F08171203MedicaidOH

Other names 1

  • Kimberly Bernal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 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
I20180111000511 OH Practitioner - Nurse Practitioner 0345509790 Reassigns benefits to 3 organizations
I20230830000808 MI Practitioner - Nurse Practitioner 0345509790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carepoint Wound Solutions, LLCGroup PAC ID 4385140383, 5 clinicians
Stafford Services, Inc.Group PAC ID 4486678901, 28 clinicians

Practice addresses (Care Compare)

12380 Plaza Dr
Parma, OH 44130-1043
Phone (216) 898-8488

Hospital & facility affiliations

  • University of Toledo Medical Center Hospital, Toledo, OH, CCN 360048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9487876FLMDNurse Practitioner
APRN.CNOP.021776OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Care Team-Primary Care Providers PLLC CurrentSince Jul 22, 2023 Accepting new patients
Kingston Care Partners, LLC CurrentSince Jul 22, 2019 Accepting new patients
Stafford Services, Inc. CurrentSince Mar 12, 2018 Accepting new patients
HCR Manorcare Medical Services of Florida LLC Nurse Practitioner CurrentSince Jul 26, 2022 Accepting new patients
Carepoint Wound Solutions, LLC Nurse Practitioner CurrentSince Sep 24, 2025 Accepting new patients

Locations

30600 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 957-1999

625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715

L2540
Columbus, OH 43260

1120 Dunaway St
Miamisburg, OH 45342
Phone (937) 307-5949

12380 Plaza Dr
Parma, OH 44130
Phone (216) 898-8444

12380 Plaza Dr
Ste 101
Parma, OH 44130
Phone (216) 898-8444

345 E Boundary St
Perrysburg, OH 43551
Phone (419) 535-6152

5360 Harroun Rd
Sylvania, OH 43560
Phone (419) 540-6000

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1508375189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12380 PLAZA DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301043",
            "telephone_number": "216-898-8488",
            "fax_number": "216-362-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12380 PLAZA DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301043",
            "telephone_number": "216-898-8488",
            "fax_number": "216-362-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAME",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9487876",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNOP.021776",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0257916",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100579900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F08171203",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BERNAL",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.