1. Home
  2. Directory
  3. Ohio
  4. Jackson
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY DAWN HUGHES CNP
NPI 1629276126
Nurse Practitioner - Family in Jackson, OH

Active since July 05, 2007PECOS Enrolled
102 TWIN OAKS DR, JACKSON, OH 45640(740) 286-5094(740) 286-8809 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kimberly Dawn Hughes Cnp NPPES

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

KIMBERLY DAWN HUGHES CNP (NPI 1629276126) is an individual family provider in Jackson, Ohio, licensed in Ohio (COA-12485-NP) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1629276126
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY DAWN HUGHESCredential: CNP
Location Address102 TWIN OAKS DRJackson, OH 45640-9506
Mailing Address102 Twin Oaks DrJackson, OH 45640-9506 · (740) 286-5094 · Fax (740) 286-8809
Phone(740) 286-5094
Fax(740) 286-8809
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 5, 2007
Last NPPES UpdateOctober 29, 2026
NPPES CertifiedOctober 29, 2026
✔ NPI 1629276126 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 · COA-12485-NP
102 TWIN OAKS DR, Jackson, OH 45640
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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 Dawn Hughes 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.

PECOS PAC ID6800052168
PECOS Enrollment IDI20120801000105
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 Hughes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Jackson
2.2 mi
Public Health or Welfare
200 E MAIN ST
Jackson, OH 45640
  • Reassigned Medicare billing, Ohio enrollment
  • 2 clinicians in this Medicare group
NPI 1356466098 (740) 286-5094

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 45640 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.

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 Hughes's NPI number?

The NPI number for Kimberly Hughes is 1629276126. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Where is Kimberly Hughes located?

Kimberly Hughes practices at 102 Twin Oaks Dr, Jackson, OH 45640. The listed phone number is (740) 286-5094.

What is Kimberly Hughes's specialty?

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

Is Kimberly Hughes enrolled in Medicare?

Yes. Kimberly Hughes 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 Hughes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Hughes reassigns Medicare benefits to County Of Jackson (Jackson, 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 Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Hughes accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Kimberly Hughes 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 Hughes was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.