KIMBERLY ANN MCCUTCHEON NP-C
NPI 1750032520
Nurse Practitioner - Family in Dayton, OH

Q: What is Kimberly Mccutcheon's NPI number?

The NPI number for Kimberly Mccutcheon is 1750032520. It was assigned to this individual provider in the NPPES registry on January 13, 2022.

Q: What is Kimberly Mccutcheon's specialty?

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

Active since January 13, 2022PECOS EnrolledAccepts Medicare Assignment

30 E APPLE ST STE 2200, DAYTON, OH 45409(937) 208-2091(937) 208-4007 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 13, 2025, Feb 15, 2023, Jan 13, 2022 (3 updates tracked since 2022).

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About Kimberly Ann Mccutcheon Np-c NPPES

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

KIMBERLY ANN MCCUTCHEON NP-C (NPI 1750032520) is an individual family provider in Dayton, Ohio, licensed in Ohio (APRN.CNP.0030594) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1750032520

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY ANN MCCUTCHEONCredential: NP-C

Location Address30 E APPLE ST STE 2200Dayton, OH 45409-2939

Mailing Address3170 Kettering Blvd Bldg B2ndMoraine, OH 45439-1924 · (937) 991-3188 · Fax (937) 949-2740

Phone(937) 208-2091

Fax(937) 208-4007

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2021

Enumeration DateJanuary 13, 2022

Last NPPES UpdateMay 13, 20253 updates tracked since enumeration

NPPES CertifiedMay 13, 2025

✔ NPI 1750032520 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 · APRN.CNP.0030594

30 E APPLE ST STE 2200, Dayton, OH 45409

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Secondary Practice Locations 4

Location 1115 Elmwood CirWest Carrollton, OH 45449-2428 · Phone (937) 866-3814

Location 26251 Miami Valley Way Ste 120Huber Heights, OH 45424-5255 · Phone (937) 312-1661

Location 32400 Lakeview Dr Ste 210Beavercreek, OH 45431-2581 · Phone (937) 312-1661

Location 41715 Brown St Ste 350Dayton, OH 45409-2502 · Phone (937) 567-6170

Other Identifiers 1

Medicaid0473182OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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 Ann Mccutcheon Np-c 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 ID547656266

PECOS Enrollment IDI20220406001289

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 Reassignments

Medicare enrollment records show Kimberly Mccutcheon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Health Specialists Inc

Same address

Surgery

30 E APPLE ST, STE 6258
Dayton, OH 45409

Reassigned Medicare billing, Ohio enrollment
812 clinicians in this Medicare group

NPI 1043263643 (937) 208-5300

Vepa LLC

21 mi

General Practice

2655 W NATIONAL RD
Springfield, OH 45504

Reassigned Medicare billing, Ohio enrollment
4 clinicians in this Medicare group

NPI 1124475504 (937) 430-1230

At Your Door Visiting Healthcare Services, LLC

72 mi

Family

314 AGLER RD
Columbus, OH 43230

Reassigned Medicare billing, Ohio enrollment
101 clinicians in this Medicare group

NPI 1750760849 (614) 284-4114

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.

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

$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.

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.

HUMZA MOGHIS MIAN MD

Orthopaedic Surgery