KIMBERLY BALTZELL CNS
NPI 1609200625
Clinical Nurse Specialist - Acute Care in Dayton, OH
About Kimberly Baltzell Cns NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY BALTZELL CNS (NPI 1609200625) is an individual acute care provider in Dayton, Ohio, licensed in Ohio (COA.14740-NS) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2013).
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 Baltzell Cns 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 Reassignment
Medicare enrollment records show Kimberly Baltzell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dayton, OH 45409
- Reassigned Medicare billing, Ohio enrollment
- 812 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
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Miami Valley Hospital
Acute Care Hospitals · Dayton, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45409 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.
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 Baltzell's NPI number?
The NPI number for Kimberly Baltzell is 1609200625. It was assigned to this individual provider in the NPPES registry on August 27, 2013.
Where is Kimberly Baltzell located?
Kimberly Baltzell practices at 1 Wyoming St Fl 3, Dayton, OH 45409. The listed phone number is (937) 223-4461.
What is Kimberly Baltzell's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Acute Care, with taxonomy code 364SA2100X.
Is Kimberly Baltzell enrolled in Medicare?
Yes. Kimberly Baltzell 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 organization bills Medicare for Kimberly Baltzell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Baltzell reassigns Medicare benefits to Premier Health Specialists Inc (Dayton, 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 Baltzell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Baltzell accept?
Health plans from CareSource and MedMutual list Kimberly Baltzell 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 Baltzell affiliated with any hospitals?
According to CMS data, Kimberly Baltzell is affiliated with Miami Valley Hospital.
When was this NPI record last updated?
The NPPES record for Kimberly Baltzell was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 Baltzell, CNS · NPI 1609200625
Acute Care physician in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since August 27, 2013.
## Identity
- **NPI:** 1609200625 (Entity type: Individual)
- **Enumerated:** August 27, 2013
- **Primary specialty:** Clinical Nurse Specialist - Acute Care · taxonomy 364SA2100X
- **State license:** COA.14740-NS (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 WYOMING ST FL 3, Dayton, OH 45409-2722
- **Phone:** (937) 223-4461
## 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:** Premier Health Specialists Inc (NPI 1114213055, Dayton, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 2013
## Record status
- **NPPES last updated:** February 11, 2025
- **Other identifiers:** Medicaid 0091249 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1609200625) · Data from the CMS NPPES public registry.