Kimberly Carol Vandalen
NPI 1053784009ActiveIndividual· Nurse Practitioner, Family· Xenia, OH
Nurse Practitioner, Family in Xenia, Ohio, licensed in OH and TX, with an NPI issued in November 2015. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1053784009 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 12, 2015 |
| Last updated in NPPES | Oct 22, 2020 |
| Certified by provider | Oct 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | APRN.CNP.025839 | OH |
| Preventive Medicine, Public Health & General Preventive Medicine | 2083P0901X | AP129610 | TX |
| Family Medicine | 207Q00000X | AP129610 | TX |
| General Practice | 208D00000X | AP129610 | TX |
| Nurse Practitioner, Family | 363LF0000X | AP129610 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OH) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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