Individual provider Active NPI

Kimberly J. Reffitt, FNP

  • Family Nurse Practitioner
  • Eaton, OH
National Provider Identifier
1770917635
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN.299599 Issued in OH
Practice address
550 Hallmark Drive
Eaton, OH 45320-8648
Phone
(937) 456-4181
Fax
(937) 456-4649
NPI assigned
Aug 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 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 RN.299599 OH Primary
Family Nurse Practitioner 363LF0000X 28132302A IN

Addresses

Primary practice location

550 Hallmark Drive
Eaton, OH 45320-8648

Mailing address

1100 Reid Parkway
Medical Staff Services
Richmond, IN 47374-1157
Phone (765) 935-8802

Other identifiers 2

IdentifierTypeStateIssuer
0165544MedicaidOH
201193660MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kreffitt301245@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, 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
I20140404001661 IN Practitioner - Nurse Practitioner 9234368309 Reassigns benefits to 1 organization
I20150203000412 OH Practitioner - Nurse Practitioner 9234368309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

109 E Washington Jackson Rd
Suite B
Eaton, OH 45320-9793
Phone (937) 456-2155

2507 Chester Blvd
SPC B
Richmond, IN 47374-1105
Phone (765) 935-8877

Hospital & facility affiliations

  • Reid Home Health Home health agency, Eaton, OH, CCN 367254
  • Reid Health Hospital, Richmond, IN, CCN 150048
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Wayne Hospital Hospital, Greenville, OH, CCN 361335

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28132302AINMDFamily Nurse Practitioner
RN.299599OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc CurrentSince Jun 13, 2016 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Dec 16, 2014 Accepting new patients
Reid Physician Associates, Inc. CurrentSince Jun 13, 2016 Accepting new patients

Locations

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

2507 Chester Blvd
Spc B
Richmond, IN 47374
Phone (765) 935-8877

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

550 Hallmark Dr
Eaton, OH 45320
Phone (937) 456-1195

109 E Washington Jackson Rd
Ste B
Eaton, OH 45320
Phone (937) 456-2155

Interoperability endpoints

  • Direct secure messaging: kreffitt301245@reidhealth.direct-ci.com

Organizations & group practices 3

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 4

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": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1770917635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PARKWAY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-935-8802",
            "fax_number": "765-983-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HALLMARK DRIVE",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453208648",
            "telephone_number": "937-456-4181",
            "fax_number": "937-456-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REFFITT",
        "first_name": "KIMBERLY",
        "middle_name": "J.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.299599",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28132302A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0165544",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201193660",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kreffitt301245@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "550 Hallmark Drive",
            "city": "Eaton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453208648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eaton, OH

Sources for this page

Verify at the official NPI Registry.