Kimberly Hahn, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

344669 Issued in NY

Practice address

130 S Union St Ste 10
Olean, NY 14760-3676

Phone

(716) 507-8200

Fax

(949) 695-2919

NPI assigned

Jun 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rewind Family Health NP, PLLCGroup PAC ID 9436624780, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Remind Behavioral Health Services

  • Family Nurse Practitioner
  • Olean, NY
  • NPI 1245913920
  Medicare reassignment NPD Authorized official
• Rewind Family Health NP, PLLC

  • Family Nurse Practitioner
  • Olean, NY
  • NPI 1538052899
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1902468036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S UNION ST STE 10",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147603676",
            "telephone_number": "716-507-8200",
            "fax_number": "949-695-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S UNION ST STE 10",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147603676",
            "telephone_number": "716-507-8200",
            "fax_number": "949-695-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "KIMBERLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie Gumtow, MSED
• Donna Gunsolus, LCSW
• Scott A Gunter, CRNA
• Kaylin Gunther, LMHC
• Kristin Leigh Gustason, MS, CCC-LSLP
• Andrew Martin Hall, M.D.
• Amy Louise Halladay, RPH
• Leroy Allen Hanchett, PH.D.
• Johanna Handley, M.D.
• Kaitlin Hanmer, MB BCH BAO

• Family Nurse Practitioner in Olean, NY
• Providers in Olean, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.

Verify at the official NPI Registry.