KIMBERLY ANN ISON
NPI 1215654710
Nurse Practitioner - Family in Dearborn, MI
About Kimberly Ann Ison NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY ANN ISON (NPI 1215654710) is an individual family provider in Dearborn, Michigan, licensed in Michigan (4704303316) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.
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 (PECOS)
Kimberly Ann Ison is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48128 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DEARBORN, MI 48128
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 Ison's NPI number?
The NPI number for Kimberly Ison is 1215654710. It was assigned to this individual provider in the NPPES registry on October 25, 2022.
Where is Kimberly Ison located?
Kimberly Ison practices at 25325 Ford Rd Ste 200, Dearborn, MI 48128. The listed phone number is (313) 887-7774.
What is Kimberly Ison's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Ison enrolled in Medicare?
Yes. Kimberly Ison is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kimberly Ison was last updated on October 25, 2022. 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 Ann Ison · NPI 1215654710
Family physician in Dearborn, Michigan. Individual provider, active in the CMS NPPES registry since October 25, 2022.
## Identity
- **NPI:** 1215654710 (Entity type: Individual)
- **Enumerated:** October 25, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704303316 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 25325 FORD RD STE 200, Dearborn, MI 48128-1086
- **Phone:** (313) 887-7774
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1215654710) · Data from the CMS NPPES public registry.