MRS. KIMBERLY R. WISNIEWSKI CRNP
NPI 1003993007
Nurse Practitioner - Acute Care in Johnstown, PA

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
87.19/100
CMS Quality Rating
321 MAIN ST, SUITE 5 G, JOHNSTOWN, PA 15901(814) 535-7721(814) 535-2105 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kimberly R. Wisniewski Crnp NPPES

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

MRS. KIMBERLY R. WISNIEWSKI CRNP (NPI 1003993007) is an individual acute care provider in Johnstown, Pennsylvania, licensed in Pennsylvania (VP006908M) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Upmc Somerset, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1003993007
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. KIMBERLY R. WISNIEWSKICredential: CRNP
Location Address321 MAIN ST, SUITE 5 GJohnstown, PA 15901-1632
Mailing Address321 Main St, Suite 5 GJohnstown, PA 15901-1632 · (814) 535-7721 · Fax (814) 535-2105
Fax(814) 535-2105
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1003993007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in PA · VP006908M
321 MAIN ST, Johnstown, PA 15901

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kimberly R. Wisniewski Crnp 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 ID8224317136
PECOS Enrollment IDI20161117000557
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.

Areas of Expertise CMS Part B claims 4

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 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.
59 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services23 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Somerset

Acute Care Hospitals · Somerset, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390039
Location225 South Center AvenueSomerset, PA 15501 · Somerset County
Emergency services

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

Chan Soon- Shiong Medical Center At Windber

Acute Care Hospitals · Windber, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390112
Location600 Somerset AvenueWindber, PA 15963 · Somerset County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15901 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.3
Promoting Interoperability100
Improvement Activities40
Cost67.99

Other Providers at the Same Location NPPES 18

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

Specialist
321 MAIN ST, SUITE 5-J
JOHNSTOWN, PA 15901
Eyewear Supplier
321 MAIN ST, SUITE 4B
JOHNSTOWN, PA 15901
Registered Nurse
321 MAIN ST
JOHNSTOWN, PA 15901
Family Medicine
321 MAIN ST, SUITE 3G
JOHNSTOWN, PA 15901
Physician Assistant
321 MAIN ST, SUITE 3C
JOHNSTOWN, PA 15901
Specialist
321 MAIN ST, SUITE 5-J
JOHNSTOWN, PA 15901
Clinic/Center (Physical Therapy)
321 MAIN ST, SUITE 5A, SEIFERT MEDICAL BUILDING
JOHNSTOWN, PA 15901
Internal Medicine
321 MAIN ST, SUITE 5D
JOHNSTOWN, PA 15901

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 Wisniewski's NPI number?

The NPI number for Kimberly Wisniewski is 1003993007. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Kimberly Wisniewski located?

Kimberly Wisniewski practices at 321 Main St Suite 5 G, Johnstown, PA 15901. The listed phone number is (814) 535-7721.

What is Kimberly Wisniewski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kimberly Wisniewski enrolled in Medicare?

Yes. Kimberly Wisniewski 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.

What insurance does Kimberly Wisniewski accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kimberly Wisniewski 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.

Is Kimberly Wisniewski affiliated with any hospitals?

According to CMS data, Kimberly Wisniewski is affiliated with Upmc Somerset, Conemaugh Memorial Medical Center and Chan Soon- Shiong Medical Center At Windber.

When was this NPI record last updated?

The NPPES record for Kimberly Wisniewski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.