Kimberly Carol Vandalen, - Medicare Nurse Practitioner in Xenia, OH

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Kimberly Carol Vandalen, is a medicare enrolled "Nurse Practitioner - Family" in Xenia, Ohio. Her current practice location is 193 S Progress Dr, Xenia, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 372-7583.

Kimberly Carol Vandalen is licensed to practice in Ohio (license number APRN.CNP.025839) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053784009.

Contact Information

Kimberly Carol Vandalen,
193 S Progress Dr,
Xenia, OH 45385-2673
(937) 372-7583
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Carol Vandalen
GenderFemale
SpecialityNurse Practitioner - Family
Location193 S Progress Dr, Xenia, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053784009
  • Provider Enumeration Date: 11/12/2015
  • Last Update Date: 10/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4981904323
  • Enrollment ID: I20200208000011

Medical Identifiers

Medical identifiers for Kimberly Carol Vandalen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053784009NPI-NPPES
0389946MedicaidOH
083850001MedicaidTX
017801401MedicaidTX
063389301MedicaidTX
87V600OtherTXBCBS
87V601OtherTXBCBS
AP129610OtherTXTEXAS STATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.025839 (Ohio)Primary
2083P0901XPreventive Medicine - Public Health & General Preventive Medicine AP129610 (Texas)Secondary
207Q00000XFamily Medicine AP129610 (Texas)Secondary
208D00000XGeneral Practice AP129610 (Texas)Secondary
363LF0000XNurse Practitioner - Family AP129610 (Texas)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Carol Vandalen allows following entities to bill medicare on her behalf.
Entity NameMvhe Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659504785
PECOS PAC ID: 9537066584
Enrollment ID: O20031217000553

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Carol Vandalen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Carol Vandalen,
193 S Progress Dr,
Xenia, OH 45385-2673

Ph: (937) 372-7583		Kimberly Carol Vandalen,
193 S Progress Dr,
Xenia, OH 45385-2673

Ph: (937) 372-7583

Reviews and Comments


Nurse Practitioner Nurses in Xenia, OH

Anne Bohardt,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 452 W Market St, Xenia, OH 45385
Phone: 937-376-8700    Fax: 937-376-8725
Emily Joanne Cooper, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 50 N Progress Dr, Xenia, OH 45385
Phone: 937-562-2280    Fax: 937-562-2282
Jessica Darnell, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 193 S Progress Dr, Xenia, OH 45385
Phone: 937-372-7583    
Elizabeth Ann Delaney, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 282 Stelton Rd, Xenia, OH 45385
Phone: 937-505-3400    
Mrs. Jennifer Reid Reichert, APRN-PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 53 W Main St, Xenia, OH 45385
Phone: 937-848-1563    
Dina Maria Thurman,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 600 Buckskin Trl, Xenia, OH 45385
Phone: 937-641-4623    Fax: 937-641-6138

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.