MS. KIMBERLY BROOKE MCCANN MSN, CPNP-PC, CNS
NPI 1053821553
Nurse Practitioner - Pediatrics in Santa Cruz, CA

Active since October 10, 2017PECOS Enrolled
1510 CAPITOLA RD, SANTA CRUZ, CA 95062(831) 427-3500 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2021, Oct 10, 2017 (2 updates tracked since 2017).

About Ms. Kimberly Brooke Mccann Msn, Cpnp-pc, Cns NPPES

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

MS. KIMBERLY BROOKE MCCANN MSN, CPNP-PC, CNS (NPI 1053821553) is an individual pediatrics provider in Santa Cruz, California, licensed in California (95007438) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boulder Creek.

NPPES Registry Identity

NPI1053821553
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. KIMBERLY BROOKE MCCANNCredential: MSN, CPNP-PC, CNS
Location Address1510 CAPITOLA RDSanta Cruz, CA 95062-2912
Mailing AddressPo Box 542Santa Cruz, CA 95061-0542 · (831) 427-3500 · Fax (831) 427-7785
Sole ProprietorNo
Enumeration DateOctober 10, 2017
Last NPPES UpdateFebruary 12, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
NPI 1053821553 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 · 95007438
Also ListedClinical Nurse Specialist · PediatricsTaxonomy 364SP0200X · License 4636 (CA)
1510 CAPITOLA RD, Santa Cruz, CA 95062

Secondary Practice Location 1

Location 1130 Riverside DrBoulder Creek, CA 95006-9432 · Phone (310) 780-8723

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Kimberly Brooke Mccann Msn, Cpnp-pc, Cns 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 95062 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
$96.03 typical visit price
range $62.97 – $186.69
Typical copayment $24.00 (range $15.74 – $46.67)
Most-billed visit code 99203
Established Patient
$109.72 typical visit price
range $21.02 – $153.16
Typical copayment $27.43 (range $5.25 – $38.29)
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.

Nurse Practitioner (Family)
1510 CAPITOLA RD
SANTA CRUZ, CA 95062
Social Worker (Clinical)
1510 CAPITOLA RD
SANTA CRUZ, CA 95062
Registered Nurse
1510 CAPITOLA RD
SANTA CRUZ, CA 95062
Nurse Practitioner (Family)
1510 CAPITOLA RD
SANTA CRUZ, CA 95062
Physician Assistant
1510 CAPITOLA RD
SANTA CRUZ, CA 95062
Marriage & Family Therapist
1510 CAPITOLA RD
SANTA CRUZ, CA 95062
Pain Medicine (Pain Medicine)
1510 CAPITOLA RD
SANTA CRUZ, CA 95062
Nurse Practitioner (Family)
1510 CAPITOLA RD
SANTA CRUZ, CA 95062

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 Mccann's NPI number?

The NPI number for Kimberly Mccann is 1053821553. It was assigned to this individual provider in the NPPES registry on October 10, 2017.

Where is Kimberly Mccann located?

Kimberly Mccann practices at 1510 Capitola Rd, Santa Cruz, CA 95062. The listed phone number is (831) 427-3500.

What is Kimberly Mccann's specialty?

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

Is Kimberly Mccann enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Mccann was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.