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KIMBERLY PETERSON NP
NPI 1033873336
Nurse Practitioner - Pediatrics in Orange, CA

Active since October 25, 2021PECOS Enrolled
505 S MAIN ST, ORANGE, CA 92868(714) 509-3939 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2025, Nov 17, 2021 (2 updates tracked since 2021).

About Kimberly Peterson Np NPPES

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

KIMBERLY PETERSON NP (NPI 1033873336) is an individual pediatrics provider in Orange, California, licensed in California (95013898) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033873336
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKIMBERLY PETERSONCredential: NP
Location Address505 S MAIN STOrange, CA 92868-4509
Mailing Address505 S Main StOrange, CA 92868-4509 · (714) 509-3939
Phone(714) 509-3939
Sole ProprietorNo
Enumeration DateOctober 25, 2021
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1033873336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CA · 95013898
Also ListedPediatricsTaxonomy 208000000X · License 95013898 (CA)
505 S MAIN ST, Orange, CA 92868
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Peterson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 20

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

DR. RYAN MICHAEL SMITH M.D.
Pediatrics
505 S MAIN ST
ORANGE, CA 92868
Orange County (714) 456-5631
MICHAEL ROSS RN
Case Manager/Care Coordinator
505 S MAIN ST
ORANGE, CA 92868
Orange County (907) 299-1410
DR. SUSAN WONG M.D.
Student in an Organized Health Care Education/Training Program
505 S MAIN ST, SUITE 525
ORANGE, CA 92868
Orange County (714) 456-5631
GALANT AND LIN MD'S INC.
Allergy & Immunology
505 S MAIN ST, STE 250
ORANGE, CA 92868
Orange County (714) 771-7994
DR. JORDAN FISHER M.D.
Pediatrics
505 S MAIN ST, SUITE 1200
ORANGE, CA 92868
Orange County (714) 509-8826
AHMED ABDELHALIM ABDELAZIZ ALI M.D.
Urology (Pediatric Urology)
505 S MAIN ST, SUITE 100
ORANGE, CA 92868
Orange County (714) 509-3914
MAYURIKA BANERJEE BARTENSTEIN
Student in an Organized Health Care Education/Training Program
505 S MAIN ST, SUITE 525
ORANGE, CA 92868
Orange County (714) 456-5631
CHRISELLE MAE NAVA EBREO M.D.
Student in an Organized Health Care Education/Training Program
505 S MAIN ST, STE 525
ORANGE, CA 92868
Orange County (714) 456-5631

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 Peterson's NPI number?

The NPI number for Kimberly Peterson is 1033873336. It was assigned to this individual provider in the NPPES registry on October 25, 2021.

Where is Kimberly Peterson located?

Kimberly Peterson practices at 505 S Main St, Orange, CA 92868. The listed phone number is (714) 509-3939.

What is Kimberly Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kimberly Peterson enrolled in Medicare?

Yes. Kimberly Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Peterson was last updated on August 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.