KIMBERLYN N JOHNSON-RUISE FNP-C
NPI 1134514185
Nurse Practitioner - Family in Kennesaw, GA
About Kimberlyn N Johnson-ruise Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLYN N JOHNSON-RUISE FNP-C (NPI 1134514185) is an individual family provider in Kennesaw, Georgia, licensed in Georgia (RN183331) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberlyn N Johnson-ruise Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberlyn Johnson-ruise reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30144 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KENNESAW, GA 30144
KENNESAW, GA 30144
KENNESAW, GA 30144
KENNESAW, GA 30144
KENNESAW, GA 30144
KENNESAW, GA 30144
KENNESAW, GA 30144
KENNESAW, GA 30144
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 Kimberlyn Johnson-ruise's NPI number?
The NPI number for Kimberlyn Johnson-ruise is 1134514185. It was assigned to this individual provider in the NPPES registry on April 6, 2015.
Where is Kimberlyn Johnson-ruise located?
Kimberlyn Johnson-ruise practices at 750 Townpark Lane Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144. The listed phone number is (770) 514-5401.
What is Kimberlyn Johnson-ruise's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberlyn Johnson-ruise enrolled in Medicare?
Yes. Kimberlyn Johnson-ruise is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberlyn Johnson-ruise's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberlyn Johnson-ruise reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberlyn Johnson-ruise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberlyn Johnson-ruise accept?
Health plans from CareSource list Kimberlyn Johnson-ruise 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.
When was this NPI record last updated?
The NPPES record for Kimberlyn Johnson-ruise was last updated on February 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kimberlyn N Johnson-Ruise, FNP-C · NPI 1134514185
Family physician in Kennesaw, Georgia. Individual provider, active in the CMS NPPES registry since April 6, 2015.
## Identity
- **NPI:** 1134514185 (Entity type: Individual)
- **Enumerated:** April 6, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN183331 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 750 TOWNPARK LANE, KAISER PERMANENTE TOWNPARK COMPREHENSIVE MEDICAL CENTER, Kennesaw, GA 30144
- **Phone:** (770) 514-5401
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 20, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1134514185) · Data from the CMS NPPES public registry.