MS. KIMBERLY LEAH COLLYMORE FNP
NPI 1912110305
Nurse Practitioner - Family in Rice Lake, WI

Active since May 08, 2007PECOS EnrolledAccepts Medicare Assignment
2900 S WISCONSIN AVE, RICE LAKE, WI 54868(715) 997-3915 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 10, 2026, Jun 18, 2025, Jul 27, 2020 and 1 more (4 updates tracked since 2020).

About Ms. Kimberly Leah Collymore Fnp NPPES

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

MS. KIMBERLY LEAH COLLYMORE FNP (NPI 1912110305) is an individual family provider in Rice Lake, Wisconsin, licensed in Wisconsin (13264-33) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1912110305
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KIMBERLY LEAH COLLYMORECredential: FNP
Location Address2900 S WISCONSIN AVERice Lake, WI 54868-8578
Mailing Address2403 Folsom StEau Claire, WI 54703-2435 · (715) 552-9784 · Fax (715) 835-6370
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 8, 2007
Last NPPES UpdateApril 10, 20264 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1912110305 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 WI · 13264-33
2900 S WISCONSIN AVE, Rice Lake, WI 54868

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

Ms. Kimberly Leah Collymore Fnp 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 ID4981508421
PECOS Enrollment IDI20221202001322
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

4

Medicare enrollment records show Kimberly Collymore reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1101 LAKE AVE W
Ladysmith, WI 54848
  • Reassigned Medicare billing, Wisconsin enrollment
  • 97 clinicians in this Medicare group
Internal Medicine
N20W22961 WATERTOWN RD
Waukesha, WI 53186
  • Reassigned Medicare billing, Wisconsin enrollment
  • 191 clinicians in this Medicare group
Primary Care
15430 W CAPITOL DR STE 100
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
  • 41 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Colorado and Wisconsin enrollments
  • 290 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.

Areas of Expertise CMS Part B claims 5

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
313 services119 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
193 services101 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
30 services26 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
21 services21 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54868 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers29 claims29 services$102.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
2900 S WISCONSIN AVE
RICE LAKE, WI 54868
Eyewear Supplier
2900 S WISCONSIN AVE
RICE LAKE, WI 54868
Clinic/Center
2900 S WISCONSIN AVE
RICE LAKE, WI 54868
Clinic/Center (Rural Health)
2900 S WISCONSIN AVE
RICE LAKE, WI 54868
Nurse Practitioner (Family)
2900 S WISCONSIN AVE
RICE LAKE, WI 54868
Optometrist
2900 S WISCONSIN AVE
RICE LAKE, WI 54868
Nurse Practitioner (Family)
2900 S WISCONSIN AVE
RICE LAKE, WI 54868
Nurse Practitioner (Family)
2900 S WISCONSIN AVE
RICE LAKE, WI 54868

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 Collymore's NPI number?

The NPI number for Kimberly Collymore is 1912110305. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Kimberly Collymore located?

Kimberly Collymore practices at 2900 S Wisconsin Ave, Rice Lake, WI 54868. The listed phone number is (715) 997-3915.

What is Kimberly Collymore's specialty?

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

Is Kimberly Collymore enrolled in Medicare?

Yes. Kimberly Collymore 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 Collymore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Collymore reassigns Medicare benefits to 4 organizations: Oakleaf Clinics Inc (Ladysmith, WI), Oak Medical Sc (Waukesha, WI), Geiger Medical, LLC (Brookfield, WI) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Collymore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Collymore accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners and Quartz list Kimberly Collymore 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 Collymore was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.