KIMBERLY RAE STUTZ CNP
NPI 1679995658
Nurse Practitioner - Women's Health in Ravenna, OH
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, is affiliated with University Hospitals Portage Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Stutz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Streetsboro, OH 44241
- Reassigned Medicare billing, Ohio enrollment
- 1,437 clinicians in this Medicare group
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Hospitals Portage Medical Center
Acute Care Hospitals · Ravenna, OHPhysician 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.
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.
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.
RAVENNA, OH 44266
RAVENNA, OH 44266
RAVENNA, OH 44266
RAVENNA, OH 44266
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.
Which organizations bill Medicare for Kimberly Stutz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Stutz reassigns Medicare benefits to 2 organizations: University Primary Care Practices, Inc. (Streetsboro, OH) and University Hospitals Medical Group Inc (Cleveland, OH). Each 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 Stutz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Stutz accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers 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.
Is Kimberly Stutz affiliated with any hospitals?
According to CMS data, Kimberly Stutz is affiliated with University Hospitals Portage Medical Center.
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.
# Kimberly Rae Stutz, CNP · NPI 1679995658
Women's Health physician in Ravenna, Ohio. Individual provider, active in the CMS NPPES registry since January 10, 2014.
## Identity
- **NPI:** 1679995658 (Entity type: Individual)
- **Enumerated:** January 10, 2014
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** 15349-NP (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6847 N CHESTNUT ST, MEDICAL STAFF OFFICE, Ravenna, OH 44266-3929
- **Phone:** (330) 296-4165 · **Fax:** (330) 297-8463
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): University Primary Care Practices, Inc. (NPI 1992179493, Streetsboro, OH); University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 2013
## Record status
- **NPPES last updated:** December 28, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1679995658) · Data from the CMS NPPES public registry.