Active NPI 1649258328 Individual Practitioner Female Practitioner

Kimberly A Sunshein , NP

Nurse Practitioner • Kettering, OH

Professional Overview & Biography Verified Profile Summary

Kimberly Sunshein, NP is a registered healthcare professional specializing in Nurse Practitioner in Kettering, OH. Practice services are available at 3535 SOUTHERN BLVD under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3535 Southern Blvd

Kettering, OH 454291221

Telephone 9373958166

Associated Practice Facility / Clinic

🏢 Kettering Physiatrists, Inc. Facility NPI 1902893035

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Kettering, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.3 Yrs

State Avg: 9.8 Yrs

Regional Practice Density

24 Specialists

Practicing in Kettering, OH (4294 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,380	250	$178.00	$80.27
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	450	122	$177.89	$80.55
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	38	13	$155.21	$95.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,124	241	$175.18	$86.69
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	688	144	$177.16	$86.66
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	179	49	$75.00	$32.26
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	149	62	$75.08	$31.78
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	129	36	$152.26	$104.37
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	57	26	$100.00	$60.59
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	38	24	$100.92	$60.59
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	20	20	$165.10	$108.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,199	248	$172.56	$74.08
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,023	117	$177.34	$73.81
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	339	96	$75.00	$35.75
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	205	88	$75.00	$35.70
99335 Established patient assisted living visit, typically 25 minutes	131	24	$186.93	$78.01
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	112	47	$100.31	$56.34
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	59	42	$100.00	$56.34
99315 Nursing facility discharge day management, 30 minutes or less	13	13	$144.00	$59.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,005	291	$170.74	$75.71
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	796	124	$177.40	$76.10
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	348	112	$75.00	$36.35
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	267	113	$75.00	$36.21
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	176	62	$101.39	$57.12
99335 Established patient assisted living visit, typically 25 minutes	125	28	$187.00	$78.89
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	103	59	$101.02	$57.11
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	15	14	$110.00	$74.42
99315 Nursing facility discharge day management, 30 minutes or less	11	11	$144.00	$56.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	771	275	$167.53	$76.48
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	726	145	$177.76	$76.29
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	423	154	$118.56	$57.79
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	300	118	$79.08	$36.86
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	191	95	$116.02	$57.71
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	126	74	$70.63	$36.88
51798 Ultrasound measurement of bladder capacity after voiding	63	47	$22.00	$9.59
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	29	28	$107.41	$76.06
99335 Established patient assisted living visit, typically 25 minutes	26	16	$187.00	$80.43
99315 Nursing facility discharge day management, 30 minutes or less	12	12	$144.00	$57.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	254	119	$51.17	$36.56
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	132	74	$99.55	$57.13
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	112	104	$102.79	$76.01
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	98	67	$50.46	$36.56
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	76	39	$175.95	$76.00
51798 Ultrasound measurement of bladder capacity after voiding	68	56	$22.00	$11.82
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	43	42	$95.00	$75.16
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	27	25	$74.81	$57.13
99284 Emergency department visit with moderate level of medical decision making	18	18	$771.00	$98.78
99283 Emergency department visit with low level of medical decision making	17	17	$516.00	$52.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	516	70	$185.43	$57.19
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	488	72	$243.82	$75.22
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	333	110	$244.16	$75.70
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	271	89	$185.93	$57.24
99335 Established patient assisted living visit, typically 25 minutes	231	61	$255.04	$78.67
99336 Established patient assisted living visit, typically 40 minutes	207	62	$360.00	$112.43
99316 Nursing facility discharge management, more than 30 minutes	35	35	$284.00	$87.92
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	18	15	$123.00	$36.82
99283 Emergency department visit with low level of medical decision making	12	12	$516.00	$51.98
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	12	$347.83	$108.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	800	174	$235.36	$73.78
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	779	77	$235.72	$74.06
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	523	72	$180.46	$56.02
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	335	119	$179.97	$55.94
99336 Established patient assisted living visit, typically 40 minutes	235	64	$347.75	$109.89
99335 Established patient assisted living visit, typically 25 minutes	143	49	$247.05	$77.31
99316 Nursing facility discharge management, more than 30 minutes	69	63	$273.03	$84.98
99318 Nursing facility annual assessment, typically 30 minutes	22	22	$248.55	$78.77
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	13	13	$482.15	$152.30
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	11	11	$340.64	$106.57

Medical Specialties & State Licenses

CMS Verified: 2020-05-05

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH NP08088

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2606488 (OH)

Secondary Practice Locations

100 Kettering Way

Franklin, OH 450051155

Phone: 9374584700

3535 Pentagon Blvd

Beavercreek, OH 454311705

Phone: 9377024500

8701 Old Troy Pike

Huber Heights, OH 454241066

Phone: 9375583338

4000 Miamisburg Centerville Rd

Miamisburg, OH 453427615

Phone: 9373848791

1997 Miamisburg Centerville Rd

Centerville, OH 454593811

Phone: 9374016228

405 W Grand Ave

Dayton, OH 454057538

Phone: 9377233211

450 Washington Jackson Rd Ste F

Eaton, OH 453208699

Phone: 9374568376

600 W Main St

Troy, OH 453732928

Phone: 9379807010

6147 State Route 122

Middletown, OH 450055201

Phone: 5132613410

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Annemarie Underwood , PA-C

Physician Assistant

NPI 1003551920

Physician Assistant (Certified)

Dr. Richard Garrison , MD

Emergency Medicine

NPI 1013994300

Doctor of Medicine (M.D.)

Zachary Carlisle , PA

Physician Assistant

NPI 1023994035

Physician Assistant

Kathryn Schwendler , MPAS, PA-C

Physician Assistant

NPI 1033837091

MPAS, Physician Assistant (Certified)

Dr. Matthew Kiefaber , MD

Emergency Medicine

NPI 1043268519

Doctor of Medicine (M.D.)

Dr. Mitchell Garey , DO

Emergency Medicine

NPI 1053052860

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Business Mailing Address August 09, 2019

Registered at 3131 NEWMARK DR STE 220, MIAMISBURG, OH 453425400 (Tel: 9374364658)

✅

NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location March 17, 2018

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373958166)

📍

Updated Business Mailing Address March 17, 2018

Registered at 4967 CROOKS RD, STE 130, TROY, MI 480985801 (Tel: 2489521601)

👤

Provider Name / Credentials Updated March 17, 2018

Recorded as KIMBERLY SUNSHEIN, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Nurse Practitioner (License #NP08088 in OH)

✅

NPI Profile Active August 17, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 17, 2015

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373958166)

📍

Updated Business Mailing Address August 17, 2015

Registered at 4967 CROOKS RD, STE 130, TROY, MI 480985801 (Tel: 2489521601)

👤

Provider Name / Credentials Updated August 17, 2015

Recorded as KIMBERLY SUNSHEIN, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2015

Nurse Practitioner (License #NP08088 in OH)

🟢

Initial NPI Registration & Enumeration January 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1649258328

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 04, 2006

Last Update: May 05, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3131 Newmark Dr Ste 220

Miamisburg, OH 453425400

Phone: 9374364658

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.