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

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: July 19, 2026.

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

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
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

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.

Internal Medicine (Clinical Cardiac Electrophysiology)
3941 J ST STE 350
SACRAMENTO, CA 95819
Nurse Practitioner
3941 J ST STE 350
SACRAMENTO, CA 95819
Nurse Practitioner
3941 J ST STE 350
SACRAMENTO, CA 95819
Nurse Practitioner
3941 J ST STE 350
SACRAMENTO, CA 95819
Internal Medicine (Clinical Cardiac Electrophysiology)
3941 J ST STE 350
SACRAMENTO, CA 95819

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285461053, enumerated as an "individual" on September 17, 2024.

The provider is located at 3941 J ST STE 350 SACRAMENTO, CA 95819 and the phone number is (916) 453-2500.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.