KIMBERLY MICHELLE METCALF CNP
NPI 1285871749
Nurse Practitioner in Cincinnati, OH
About Kimberly Michelle Metcalf Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY MICHELLE METCALF CNP (NPI 1285871749) is an individual nurse practitioner in Cincinnati, Ohio, licensed in Ohio (APRN.CNP.10489) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Blanchard Valley Hospital, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kimberly Michelle Metcalf Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
12Medicare enrollment records show Kimberly Metcalf reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cincinnati, OH 45219
- Reassigned Medicare billing, Ohio enrollment
- 317 clinicians in this Medicare group
Cincinnati, OH 45219
- Reassigned Medicare billing, Ohio enrollment
- 26 clinicians in this Medicare group
Lawrenceburg, IN 47025
- Reassigned Medicare billing, Indiana enrollment
- 39 clinicians in this Medicare group
Lawrenceburg, IN 47025
- Reassigned Medicare billing, Indiana enrollment
- 109 clinicians in this Medicare group
Seaman, OH 45679
- Reassigned Medicare billing, Ohio enrollment
- 894 clinicians in this Medicare group
Columbus, OH 43215
- Reassigned Medicare billing, Ohio enrollment
- 474 clinicians in this Medicare group
Noblesville, IN 46060
- Reassigned Medicare billing, Indiana enrollment
- 303 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- 63 clinicians in this Medicare group
Toledo, OH 43608
- Reassigned Medicare billing, Ohio enrollment
- 277 clinicians in this Medicare group
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Emergency Department Physicians PC
- 237 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Blanchard Valley Hospital
Acute Care Hospitals · Findlay, OHFort Hamilton Hughes Memorial Hospital
Acute Care Hospitals · Hamilton, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CINCINNATI, OH 45219
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 Metcalf's NPI number?
The NPI number for Kimberly Metcalf is 1285871749. It was assigned to this individual provider in the NPPES registry on January 20, 2009.
Where is Kimberly Metcalf located?
Kimberly Metcalf practices at 2139 Auburn Ave, Cincinnati, OH 45219. The listed phone number is (513) 585-2235.
What is Kimberly Metcalf's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kimberly Metcalf enrolled in Medicare?
Yes. Kimberly Metcalf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kimberly Metcalf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Metcalf reassigns Medicare benefits to 12 organizations: Anesthesia Associates Of Cincinnati, Inc (Cincinnati, OH), Pain Management Associates LLC (Cincinnati, OH), Hospital Medicine Services Of Tennessee PC (Lawrenceburg, IN), Indiana Emergency Professionals PC (Lawrenceburg, IN), Emergency Professional Services, Inc. (Seaman, OH) and 7 more organizations, listed in the Medicare section above. Each 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 Metcalf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Metcalf accept?
Health plans from CareSource and Cigna Healthcare list Kimberly Metcalf 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.
Is Kimberly Metcalf affiliated with any hospitals?
According to CMS data, Kimberly Metcalf is affiliated with Blanchard Valley Hospital and Fort Hamilton Hughes Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kimberly Metcalf was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Kimberly Michelle Metcalf, CNP · NPI 1285871749
Nurse Practitioner physician in Cincinnati, Ohio. Individual provider, active in the CMS NPPES registry since January 20, 2009.
## Identity
- **NPI:** 1285871749 (Entity type: Individual)
- **Enumerated:** January 20, 2009
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** APRN.CNP.10489 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 2139 AUBURN AVE, Cincinnati, OH 45219-2906
- **Phone:** (513) 585-2235
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 12 organizations under Medicare reassignment (form CMS-855R): Anesthesia Associates Of Cincinnati, Inc (NPI 1316945173, Cincinnati, OH); Pain Management Associates LLC (NPI 1699775536, Cincinnati, OH); Hospital Medicine Services Of Tennessee PC (NPI 1528433802, Lawrenceburg, IN); Indiana Emergency Professionals PC (NPI 1598068017, Lawrenceburg, IN); Emergency Professional Services, Inc. (NPI 1093762353, Seaman, OH); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** March 17, 2025
- **Other identifiers:** Medicaid 7100302290 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1285871749) · Data from the CMS NPPES public registry.