KIMBERLY MCCANN
NPI 1134049497
Nurse Practitioner - Family in Boardman, OH

Active since July 17, 2026PECOS Enrolled
1280 BOARDMAN CANFIELD RD STE 3, BOARDMAN, OH 44512(330) 726-1900(330) 726-0843 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kimberly Mccann NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY MCCANN (NPI 1134049497) is an individual family provider in Boardman, Ohio, licensed in Ohio (APRN.CNP.0042654) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1134049497
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY MCCANN
Location Address1280 BOARDMAN CANFIELD RD STE 3Boardman, OH 44512-4073
Mailing Address1280 Boardman Canfield Rd Ste 3Boardman, OH 44512-4073 · (330) 726-1900 · Fax (330) 726-0843
Fax(330) 726-0843
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 17, 2026
NPPES CertifiedJuly 17, 2026
✔ NPI 1134049497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0042654
1280 BOARDMAN CANFIELD RD STE 3, Boardman, OH 44512

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Mccann is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507324027
PECOS Enrollment IDI20260814004146
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Mccann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1280 BOARDMAN CANFIELD RD STE 3
Boardman, OH 44512
  • Reassigned Medicare billing, Ohio enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1280 BOARDMAN CANFIELD RD STE 3
BOARDMAN, OH 44512
Nurse Practitioner (Family)
1280 BOARDMAN CANFIELD RD STE 3
YOUNGSTOWN, OH 44512

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Mccann's NPI number?

The NPI number for Kimberly Mccann is 1134049497. It was assigned to this individual provider in the NPPES registry on July 17, 2026.

Where is Kimberly Mccann located?

Kimberly Mccann practices at 1280 Boardman Canfield Rd Ste 3, Boardman, OH 44512. The listed phone number is (330) 726-1900.

What is Kimberly Mccann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Mccann enrolled in Medicare?

Yes. Kimberly Mccann is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Mccann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Mccann reassigns Medicare benefits to Reema Taneja, M.D., Inc. (Boardman, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Mccann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Mccann accept?

Health plans from Anthem Blue Cross and Blue Shield list Kimberly Mccann as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Mccann was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.