KIMBERLY LAWAYNE JOHNSON RN
NPI 1053173393
Nurse Practitioner - Family in Centreville, AL

Active since January 23, 2024PECOS EnrolledAccepts Medicare Assignment
405 BELCHER ST, CENTREVILLE, AL 35042(205) 926-2992 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Lawayne Johnson Rn NPPES

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

KIMBERLY LAWAYNE JOHNSON RN (NPI 1053173393) is an individual family provider in Centreville, Alabama, licensed in Alabama (1-189125) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053173393
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY LAWAYNE JOHNSONCredential: RN
Location Address405 BELCHER STCentreville, AL 35042-2946
Mailing Address405 Belcher StCentreville, AL 35042-2946 · (205) 926-2992
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 23, 2024
Last NPPES UpdateSeptember 19, 2025
NPPES CertifiedSeptember 19, 2025
NPI 1053173393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AL · 1-189125
405 BELCHER ST, Centreville, AL 35042

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

Kimberly Lawayne Johnson Rn 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 ID2961991716
PECOS Enrollment IDI20251030004549
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 35042 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Family Medicine
405 BELCHER ST
CENTREVILLE, AL 35042
Student in an Organized Health Care Education/Training Program
405 BELCHER ST
CENTREVILLE, AL 35042
Student in an Organized Health Care Education/Training Program
405 BELCHER ST
CENTREVILLE, AL 35042
Family Medicine
405 BELCHER ST
CENTREVILLE, AL 35042
Student in an Organized Health Care Education/Training Program
405 BELCHER ST
CENTREVILLE, AL 35042
Nurse Practitioner
405 BELCHER ST
CENTREVILLE, AL 35042
Nurse Practitioner (Family)
405 BELCHER ST
CENTREVILLE, AL 35042
Clinic/Center (Federally Qualified Health Center (FQHC))
405 BELCHER ST
CENTREVILLE, AL 35042

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 Johnson's NPI number?

The NPI number for Kimberly Johnson is 1053173393. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Where is Kimberly Johnson located?

Kimberly Johnson practices at 405 Belcher St, Centreville, AL 35042. The listed phone number is (205) 926-2992.

What is Kimberly Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Johnson enrolled in Medicare?

Yes. Kimberly Johnson 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.

When was this NPI record last updated?

The NPPES record for Kimberly Johnson was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.