KIMBERLY JOHNSON RN, NP - NPI 1295197523 - Nurse Practitioner in Melville, NY

Q: What is Kimberly Johnson's NPI number?

The NPI number for Kimberly Johnson is 1295197523. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Q: What is Kimberly Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Johnson was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

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About Kimberly Johnson Rn, Np NPPES

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

KIMBERLY JOHNSON RN, NP (NPI 1295197523) is an individual adult health provider in Melville, New York, licensed in New York (310859) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Amityville.

NPPES Registry Identity

NPI1295197523

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKIMBERLY JOHNSONCredential: RN, NP

Location Address445 BROADHOLLOW RD STE 25Melville, NY 11747-3645

Mailing Address118 Suffolk AveBrentwood, NY 11717-4202 · (631) 336-0190

Phone(631) 223-8852

Fax(631) 350-0331

Sole ProprietorYes

Enumeration DateMarch 25, 2016

Last NPPES UpdateNovember 13, 20253 updates tracked since enumeration

NPPES CertifiedNovember 13, 2025

✔ NPI 1295197523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 310859

Also ListedRegistered NurseTaxonomy 163W00000X · License 321125 (NC), 655384 (PA), 661348 (NY)

445 BROADHOLLOW RD STE 25, Melville, NY 11747

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Secondary Practice Location 1

Location 1333 BroadwayAmityville, NY 11701-2719 · Phone (631) 789-2020 · Fax (631) 789-5669

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 Johnson Rn, Np 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 11747 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 12

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

MINDCARETUTORING SERVICES, INC.

Home Health