KIMBERLY RAE STUTZ CNP
NPI 1679995658
Nurse Practitioner - Women's Health in Ravenna, OH

Q: What is Kimberly Stutz's NPI number?

The NPI number for Kimberly Stutz is 1679995658. It was assigned to this individual provider in the NPPES registry on January 10, 2014. The provider is also known as Kimberly Rae Polen.

Q: What is Kimberly Stutz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Stutz was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 10, 2014PECOS EnrolledAccepts Medicare Assignment

90.9/100

CMS Quality Rating

6847 N CHESTNUT ST, MEDICAL STAFF OFFICE, RAVENNA, OH 44266(330) 296-4165(330) 297-8463 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimberly Rae Stutz Cnp NPPES

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

KIMBERLY RAE STUTZ CNP (NPI 1679995658) is an individual women's health provider in Ravenna, Ohio, licensed in Ohio (15349-NP) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2013).

NPPES Registry Identity

NPI1679995658

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameKIMBERLY RAE STUTZCredential: CNP

Location Address6847 N CHESTNUT ST, MEDICAL STAFF OFFICERavenna, OH 44266-3929

Mailing Address6847 N Chestnut St, Suite 300Ravenna, OH 44266-3929 · (330) 296-4165 · Fax (330) 296-5536

Phone(330) 296-4165

Fax(330) 297-8463

Sole ProprietorYes

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2013

Enumeration DateJanuary 10, 2014

Last NPPES UpdateDecember 28, 2020

NPPES CertifiedDecember 28, 2020

✔ NPI 1679995658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in OH · 15349-NP

Also ListedRegistered NurseTaxonomy 163W00000X · License 353026-RN (OH)

6847 N CHESTNUT ST, Ravenna, OH 44266

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Other Names 1

Former Name (1)Kimberly Rae Polen

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Rae Stutz 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 ID9537391750

PECOS Enrollment IDI20140422000816

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44266 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.

90.9/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.8

Promoting Interoperability

100

Improvement Activities

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. MICHAEL BAUMGARDNER DO

Emergency Medicine (Emergency Medical Services)

6847 N CHESTNUT ST
RAVENNA, OH 44266

Portage County (330) 297-0811

PHILIP H KEYSER MD FACC

Internal Medicine (Cardiovascular Disease)

6847 N CHESTNUT ST, SUITE 100
RAVENNA, OH 44266

Portage County (330) 297-6110

DR. SANEKA CHAKRAVARTY MBBS

Internal Medicine (Cardiovascular Disease)

6847 N CHESTNUT ST, SUITE 100
RAVENNA, OH 44266

Portage County (330) 297-6110

AMY R COMMON SLP

Speech-Language Pathologist

6847 N CHESTNUT ST, STE 100
RAVENNA, OH 44266

Portage County (330) 297-2770

DEREK FROST PHARM.D.

Pharmacist (Pharmacotherapy)

6847 N CHESTNUT ST
RAVENNA, OH 44266

Portage County (330) 297-8616

JOSHUA ADAM BIGLEY LPN

Licensed Practical Nurse

6847 N CHESTNUT ST
RAVENNA, OH 44266

Portage County (330) 577-5881

MRS. VICTORIA MARIE KELLEY RN

Nurse Anesthetist, Certified Registered

6847 N CHESTNUT ST
RAVENNA, OH 44266

Portage County (330) 569-4963

ISABELLA ROWLANDS

Social Worker

6847 N CHESTNUT ST
RAVENNA, OH 44266

Portage County (330) 297-8838

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 Stutz's NPI number?

The NPI number for Kimberly Stutz is 1679995658. It was assigned to this individual provider in the NPPES registry on January 10, 2014. The provider is also known as Kimberly Rae Polen.

Where is Kimberly Stutz located?

Kimberly Stutz practices at 6847 N Chestnut St Medical Staff Office, Ravenna, OH 44266. The listed phone number is (330) 296-4165.

What is Kimberly Stutz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Kimberly Stutz enrolled in Medicare?

Yes. Kimberly Stutz 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 Stutz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Kimberly Stutz 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 Stutz was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.