KIMBERLY BROOKE DELANDTSHEER
NPI 1124711247
Nurse Practitioner - Family in Big Bear Lake, CA
About Kimberly Brooke Delandtsheer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY BROOKE DELANDTSHEER (NPI 1124711247) is an individual family provider in Big Bear Lake, California, licensed in California (95024727) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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 Brooke Delandtsheer 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92315 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Patient Reviews User submitted
Reviews are submitted by site visitors and approved by a human moderator before publication.
Review by Karen ***** April 2, 2025
5/5Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BIG BEAR LAKE, CA 92315
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 Delandtsheer's NPI number?
The NPI number for Kimberly Delandtsheer is 1124711247. It was assigned to this individual provider in the NPPES registry on June 2, 2023.
Where is Kimberly Delandtsheer located?
Kimberly Delandtsheer practices at 42002 Fox Farm Rd, Big Bear Lake, CA 92315. The listed phone number is (909) 878-8000.
What is Kimberly Delandtsheer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Delandtsheer enrolled in Medicare?
Yes. Kimberly Delandtsheer 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 Delandtsheer was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kimberly Brooke Delandtsheer · NPI 1124711247
Family physician in Big Bear Lake, California. Individual provider, active in the CMS NPPES registry since June 2, 2023.
## Identity
- **NPI:** 1124711247 (Entity type: Individual)
- **Enumerated:** June 2, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95024727 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 42002 FOX FARM RD, Big Bear Lake, CA 92315-2190
- **Phone:** (909) 878-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124711247) · Data from the CMS NPPES public registry.