DESTINY DAWN KIMMEL NP
NPI 1285461053
Nurse Practitioner - Family in Sacramento, CA

Q: What is Destiny Kimmel's NPI number?

The NPI number for Destiny Kimmel is 1285461053. It was assigned to this individual provider in the NPPES registry on September 17, 2024.

Q: What is Destiny Kimmel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Destiny Kimmel was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since September 17, 2024PECOS EnrolledAccepts Medicare Assignment

3941 J ST STE 350, SACRAMENTO, CA 95819(916) 453-2500(916) 456-1672 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2024, Sep 17, 2024 (2 updates tracked since 2024).

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About Destiny Dawn Kimmel Np NPPES

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

DESTINY DAWN KIMMEL NP (NPI 1285461053) is an individual family provider in Sacramento, California, licensed in California (95032121) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1285461053

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDESTINY DAWN KIMMELCredential: NP

Location Address3941 J ST STE 350Sacramento, CA 95819-3633

Mailing Address3400 Data DrRancho Cordova, CA 95670-7956

Phone(916) 453-2500

Fax(916) 456-1672

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 17, 2024

Last NPPES UpdateNovember 21, 20242 updates tracked since enumeration

NPPES CertifiedNovember 21, 2024

✔ NPI 1285461053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95032121

3941 J ST STE 350, Sacramento, CA 95819

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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

Destiny Dawn Kimmel Np 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.

PECOS PAC ID2062949555

PECOS Enrollment IDI20241223000624

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 95819 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA ZHU FNP-C

Nurse Practitioner