KIMBERLY JENELLE ACKLEY, APRN — NPI 1265707756 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care in FINDLAY, OH)

CMS-1500 Box 24J / 33a • NPI

1265707756

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363LA2100X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care

Box 32 Service Location & ZIP+4

15100 BIRCHAVEN LN, FINDLAY, OH, 45840-9773

✓ 9-Digit EDI 837 ZIP+4 (45840-9773)

Practice Phone & Referral Fax

(419) 425-3158

Fax: (419) 425-3805

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1265707756 (KIMBERLY JENELLE ACKLEY, APRN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1265707756` (NPI-1 Individual Practitioner)
Provider / Legal Name	KIMBERLY JENELLE ACKLEY, APRN
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care NUCC Code: `363LA2100X` (Nurse Practitioner, Acute Care)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	15100 BIRCHAVEN LN, FINDLAY, OH, 45840-9773
Practice Telephone / Fax	Tel: (419) 425-3158 \| Fax: (419) 425-3805
Administrative Mailing Address	15100 BIRCHAVEN LN, FINDLAY, OH, 45840-9773
Enumeration & Last Sync	Enumerated: 2012-03-15 \| CMS Record Updated: 2025-06-30

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

15100 BIRCHAVEN LN, FINDLAY, OH, 45840-9773

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Plain-English Taxonomy & CMS Crosswalk (363LA2100X)

What Does Taxonomy Code 363LA2100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LA2100X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Acute Care for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KIMBERLY JENELLE ACKLEY, APRN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163W00000X` — Registered Nurse Plain English: Licensed & Credentialed Registered Nurse	State: OH \| License: `RN 357559` \| Primary: Secondary
`363LA2100X` — Nurse Practitioner, Acute Care Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care	State: OH \| License: `APRN.CNP.0026921` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KIMBERLY JENELLE ACKLEY, APRN (NPI #1265707756)