KIMBERLEY DAWN JODREY CNP NPI 1619316056

NPI Information

  • NPI: 1619316056
  • Provider Name: KIMBERLEY DAWN JODREY, CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 17862 STATE ROUTE 247
    SEAMAN, OH
    ZIP 45679
  • Phone: (937) 695-0748

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NPI Details

Kimberley Dawn Jodrey, CNP is a family nurse practitioner in Seaman, OH with 13 years of experience. Kimberley Dawn Jodrey, CNP NPI is 1619316056. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17862 STATE ROUTE 247
SEAMAN, OH
ZIP 45679
Phone: (937) 695-0748
Fax: (937) 695-1260

The NPI 1619316056 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Hemoglobin a1c level (HCPCS:83036)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Urinalysis, manual test (HCPCS:81002)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Urine microalbumin (protein) analysis (HCPCS:82044)

The enumeration date for this NPI number is 6/19/2013 and was last updated on 9/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyCOA.14613-NPOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H215570MEDICARE PINOHIO
27100339380MEDICAIDKENTUCKY
30086090MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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