Individual provider Active NPI

Kimberly Ann Bell, MSN, RN, NP-C

  • Family Nurse Practitioner
  • Xenia, OH
National Provider Identifier
1659810737
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.020535 Issued in OH
Practice address
1157 N Monroe Dr Ste 220
Xenia, OH 45385-1699
Phone
(937) 374-3484
Fax
(937) 374-7484
NPI assigned
Feb 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN217101 APRN020535 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.020535 OH Primary

Addresses

Primary practice location

1157 N Monroe Dr Ste 220
Xenia, OH 45385-1699

Mailing address

4790 Cottonville Rd
Jamestown, OH 45335-1518
Phone (937) 675-2870

Other practice location 1

6700 Commerce Center Dr
Dayton, OH 45414-2672
Phone (937) 208-6875

Other practice location 2

1130 S Main St
Englewood, OH 45322-2819
Phone (937) 208-6879

Other practice location 3

4790 Cottonville Rd
Jamestown, OH 45335-1518
Phone (937) 675-2870

Other identifiers 1

IdentifierTypeStateIssuer
0207911MedicaidOH

Other names 1

  • Kimberly Ann Sargent Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ksargent566806@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

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
I20170309001469 OH Practitioner - Nurse Practitioner 1456247402 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN217101 APRN020535OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Urgent Care, Inc. CurrentSince May 21, 2018 Accepting new patients
Mvhe Inc CurrentSince Jul 8, 2018 Accepting new patients
Mvhe Inc CurrentSince Jul 8, 2018 Accepting new patients
Greene Memorial Hospital Inc Past Accepting new patients
Uvpc Specialists Inc. PastSince May 21, 2018 Accepting new patients

Locations

6700 Commerce Center Dr
Dayton, OH 45414
Phone (937) 208-6875

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

1130 S Main St
Englewood, OH 45322
Phone (937) 208-6879

4940 Cottonville Rd
Ste 100
Jamestown, OH 45335
Phone (937) 675-6830

8 Prestige Plaza Dr
Ste 107
Miamisburg, OH 45342
Phone (937) 208-6871

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

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1659810737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 COTTONVILLE RD",
            "city": "JAMESTOWN",
            "state": "OH",
            "postal_code": "453351518",
            "telephone_number": "937-675-2870",
            "fax_number": "937-675-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 N MONROE DR STE 220",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453851699",
            "telephone_number": "937-374-3484",
            "fax_number": "937-374-7484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6700 Commerce Center Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454142672",
            "country_code": "US",
            "telephone_number": "937-208-6875",
            "fax_number": "937-208-6878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 S Main St",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "453222819",
            "country_code": "US",
            "telephone_number": "937-208-6879",
            "fax_number": "937-208-6886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4790 Cottonville Rd",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "OH",
            "postal_code": "453351518",
            "country_code": "US",
            "telephone_number": "937-675-2870",
            "fax_number": "937-675-2873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "MSN, RN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2021-01-28",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN217101 APRN020535",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207911",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksargent566806@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "4790 Cottonville Rd",
            "city": "Jamestown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453351518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4790 Cottonville Rd",
            "city": "Jamestown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453351518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "SARGENT",
            "middle_name": "ANN",
            "credential": "MSN, RN, NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Xenia, OH

Sources for this page

Verify at the official NPI Registry.