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KIMBERLY BALTZELL CNS
NPI 1609200625
Clinical Nurse Specialist - Acute Care in Dayton, OH

Active since August 27, 2013PECOS EnrolledAccepts Medicare Assignment
76.79/100
CMS Quality Rating
1 WYOMING ST FL 3, DAYTON, OH 45409(937) 223-4461 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2025, Mar 8, 2022, Mar 14, 2017 (3 updates tracked since 2017).

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

NPI1609200625
Entity TypeIndividualFemale
Primary Taxonomy364SA2100X
Provider Legal NameKIMBERLY BALTZELLCredential: CNS
Location Address1 WYOMING ST FL 3Dayton, OH 45409-2722
Mailing Address3170 Kettering Blvd Bldg B2ndMoraine, OH 45439-1924 · (937) 991-3188 · Fax (937) 223-9811
Phone(937) 223-4461
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2013
Enumeration DateAugust 27, 2013
Last NPPES UpdateFebruary 11, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
✔ NPI 1609200625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2100X
License✔ Licensed in OH · COA.14740-NS
Also ListedClinical Nurse SpecialistTaxonomy 364S00000X · License COA.14740-NS (OH)
1 WYOMING ST FL 3, Dayton, OH 45409
Open in Google Maps ↗

Other Identifiers 1

Medicaid0091249OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

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.

PECOS PAC ID941444343
PECOS Enrollment IDI20130925000803
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

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.
84 services68 patients

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, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Physician 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.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

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.

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 17 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.