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MS. KIMBERLY A COLE M.S.N., NP
NPI 1467448407
Nurse Practitioner in Toledo, OH

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
3000 ARLINGTON AVE, TOLEDO, OH 43614(419) 383-6656(419) 383-3167 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2020, Feb 6, 2019 (2 updates tracked since 2019).

About Ms. Kimberly A Cole M.s.n., Np NPPES

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

MS. KIMBERLY A COLE M.S.N., NP (NPI 1467448407) is an individual nurse practitioner in Toledo, Ohio, licensed in Ohio (APRN.CNP.05320) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with University Of Toledo Medical Center, and maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1467448407
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. KIMBERLY A COLECredential: M.S.N., NP
Location Address3000 ARLINGTON AVEToledo, OH 43614
Mailing Address4510 Dorr StToledo, OH 43615-4040 · (419) 383-7100
Phone(419) 383-6656
Fax(419) 383-3167
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateSeptember 26, 2005
Last NPPES UpdateApril 8, 20202 updates tracked since enumeration
NPPES CertifiedApril 8, 2020
✔ NPI 1467448407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.05320
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN199171 (OH)
3000 ARLINGTON AVE, Toledo, OH 43614
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Secondary Practice Location 1

Location 13120 Glendale AveToledo, OH 43614-5811 · Phone (419) 383-3760 · Fax (419) 383-3093

Other Identifiers 1

Medicaid2336681OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, McLaren Health Plan Community.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kimberly A Cole M.s.n., Np 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.

PECOS PAC ID8820015456
PECOS Enrollment IDI20051101001256
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
75 services51 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
57 services55 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Toledo Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360048
Location3000 Arlington AvenueToledo, OH 43699 · Lucas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43614 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.

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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
3%36 patients1/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%167 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%214 patients4/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
92%146 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%149 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 91% · 22 patients
77%22 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%146 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
15%146 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
21%146 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. SEAN O. MCKEE PHARMD
Student in an Organized Health Care Education/Training Program
3000 ARLINGTON AVE, GRADUATE MEDICAL EDUCATION MS 1050
TOLEDO, OH 43614
Lucas County (419) 383-4244
DR. SIYUN ZHANG PHARMD
Pharmacist (Pharmacotherapy)
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-4080
TAMARA AVEZBADALOV MD
Student in an Organized Health Care Education/Training Program
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-3752
DR. MARTIN JOSEPH OHLINGER PHARMD
Pharmacist
3000 ARLINGTON AVE, UT MEDICAL CENTER
TOLEDO, OH 43614
Lucas County (419) 383-3898
DR. BURTON LEE ROGERS JR. ED.D, MBA, ATC, LPTA
Specialist/Technologist (Athletic Trainer)
3000 ARLINGTON AVE, MORSE CENTER DOWLING HALL
TOLEDO, OH 43614
Lucas County (419) 383-4000
JEANETTE WOODRUFF R.PH.
Pharmacist
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-4080
DR. BRIAN ALLAN CUSTER D.M.D.
Student in an Organized Health Care Education/Training Program
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-3504
MRS. JULIE ANN ST JEAN PA-C
Physician Assistant
3000 ARLINGTON AVE
TOLEDO, OH 43614
Lucas County (419) 383-3888

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 Cole's NPI number?

The NPI number for Kimberly Cole is 1467448407. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Kimberly Cole located?

Kimberly Cole practices at 3000 Arlington Ave, Toledo, OH 43614. The listed phone number is (419) 383-6656.

What is Kimberly Cole's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kimberly Cole enrolled in Medicare?

Yes. Kimberly Cole 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.

What insurance does Kimberly Cole accept?

Health plans from CareSource and McLaren Health Plan Community list Kimberly Cole 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 Cole affiliated with any hospitals?

According to CMS data, Kimberly Cole is affiliated with University Of Toledo Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Cole was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.