MRS. CRYSTAL NOEL KIMBALL FNP, RN
NPI 1316646797
Nurse Practitioner - Primary Care in Ukiah, CA

Active since February 24, 2023PECOS EnrolledAccepts Medicare Assignment
1050 N STATE ST, UKIAH, CA 95482(707) 662-3111 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Crystal Noel Kimball Fnp, Rn NPPES

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

MRS. CRYSTAL NOEL KIMBALL FNP, RN (NPI 1316646797) is an individual primary care provider in Ukiah, California, licensed in California (95024333) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1316646797
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. CRYSTAL NOEL KIMBALLCredential: FNP, RN
Location Address1050 N STATE STUkiah, CA 95482-3414
Mailing Address880 Sanel DrUkiah, CA 95482-9604 · (530) 601-0314
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 24, 2023
NPPES CertifiedFebruary 24, 2023
NPI 1316646797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in CA · 95024333
1050 N STATE ST, Ukiah, CA 95482

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

Mrs. Crystal Noel Kimball Fnp, Rn 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 ID2769847235
PECOS Enrollment IDI20230505001182
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.

Other Providers at the Same Location NPPES 15

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

Registered Nurse
1050 N STATE ST
UKIAH, CA 95482
Nurse Practitioner (Family)
1050 N STATE ST
UKIAH, CA 95482
Physician Assistant
1050 N STATE ST
UKIAH, CA 95482
Nurse Practitioner (Obstetrics & Gynecology)
1050 N STATE ST
UKIAH, CA 95482
Obstetrics & Gynecology
1050 N STATE ST
UKIAH, CA 95482
Case Manager/Care Coordinator
1050 N STATE ST
UKIAH, CA 95482
Case Manager/Care Coordinator
1050 N STATE ST
UKIAH, CA 95482
Family Medicine
1050 N STATE ST
UKIAH, CA 95482

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 Crystal Kimball's NPI number?

The NPI number for Crystal Kimball is 1316646797. It was assigned to this individual provider in the NPPES registry on February 24, 2023.

Where is Crystal Kimball located?

Crystal Kimball practices at 1050 N State St, Ukiah, CA 95482. The listed phone number is (707) 662-3111.

What is Crystal Kimball's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Crystal Kimball enrolled in Medicare?

Yes. Crystal Kimball is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Crystal Kimball was last updated on February 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.