KIMBERLEY A HANNEKEN MD
NPI 1215047782
Family Medicine - Adult Medicine in Ukiah, CA

Q: What is Kimberley Hanneken's NPI number?

The NPI number for Kimberley Hanneken is 1215047782. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Kimberley Hanneken's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since August 30, 2006PECOS Enrolled

97.12/100

CMS Quality Rating

260 HOSPITAL DR, SUITE 209, UKIAH, CA 95482(707) 463-7488(707) 462-7846 Get Directions Write a Review

NPPES record last updated: August 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kimberley A Hanneken Md NPPES

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

KIMBERLEY A HANNEKEN MD (NPI 1215047782) is an individual adult medicine provider in Ukiah, California, licensed in California (G136098) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215047782

Entity TypeIndividualFemale

Primary Taxonomy207QA0505X

Provider Legal NameKIMBERLEY A HANNEKENCredential: MD

Location Address260 HOSPITAL DR, SUITE 209Ukiah, CA 95482-4568

Mailing Address260 Hospital Dr, Suite 209Ukiah, CA 95482-4568 · (707) 463-7488 · Fax (707) 462-7846

Phone(707) 463-7488

Fax(707) 462-7846

Sole ProprietorNo

Enumeration DateAugust 30, 2006

Last NPPES UpdateAugust 26, 2015

✔ NPI 1215047782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

Licenses✔ Licensed in CA · G136098✔ Licensed in IL · 036094217

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

260 HOSPITAL DR, Ukiah, CA 95482

Open in Google Maps ↗

Other Identifiers 5

Other216239IL · Medicare Group Ptan

Medicaid036094217IL

Other1326041229IL · Medicare Group Npi

Medicare UPING51652IL

Other1043486731IL · Health Alliance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberley A Hanneken Md 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 95482 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.24

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers30 claims73 services$6.44 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers14 claims14 services$1.15 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

1 supplier13 claims2,850 services$0.03 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier11 claims660 services$0.64 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$212.87 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers16 claims16 services$19.55 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. GUY TERAN M.D.

Internal Medicine

260 HOSPITAL DR
UKIAH, CA 95482

Mendocino County (707) 463-8000

DR. MICHAEL T YOUNG DO

Physical Medicine & Rehabilitation (Pain Medicine)

260 HOSPITAL DR, SUITE 102
UKIAH, CA 95482

Mendocino County (707) 463-8028

ADVENTIST HEALTH PHYSICIANS NETWORK

Physical Medicine & Rehabilitation (Pain Medicine)

260 HOSPITAL DR, SUITE 102
UKIAH, CA 95482

Mendocino County (707) 463-8003

ANNE CATHERINE MARTIN-KO MD

Pediatrics (Adolescent Medicine)

260 HOSPITAL DR, SUITE 204
UKIAH, CA 95482

Mendocino County (707) 463-3470

MS. SHAISTA PARVEEN MD

Pediatrics

260 HOSPITAL DR, SUITE 204
UKIAH, CA 95482

Mendocino County (707) 463-8000

SHAKUNTALA BLOMQUIST

Nurse Practitioner (Family)

260 HOSPITAL DR
UKIAH, CA 95482

Mendocino County (707) 463-8000

MS. LORI KATNIK FNP

Nurse Practitioner (Family)

260 HOSPITAL DR
UKIAH, CA 95482

Mendocino County (707) 463-8000

DR. PAUL JEPSON M.D.

Urology

260 HOSPITAL DR, SUITE 201
UKIAH, CA 95482

Mendocino County (707) 463-8000

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 Kimberley Hanneken's NPI number?

The NPI number for Kimberley Hanneken is 1215047782. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Kimberley Hanneken located?

Kimberley Hanneken practices at 260 Hospital Dr Suite 209, Ukiah, CA 95482. The listed phone number is (707) 463-7488.

What is Kimberley Hanneken's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Kimberley Hanneken enrolled in Medicare?

Yes. Kimberley Hanneken is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberley Hanneken was last updated on August 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.