MRS. CRYSTAL NOEL KIMBALL FNP, RN
NPI 1316646797
Nurse Practitioner - Primary Care in Ukiah, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Crystal Kimball reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ukiah, CA 95482
- Reassigned Medicare billing, California enrollment
- 678 clinicians in this Medicare group
Ukiah, CA 95482
- Reassigned Medicare billing, California enrollment
- 221 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Crystal Kimball's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Kimball reassigns Medicare benefits to 2 organizations: Adventist Health Physicians Network (Ukiah, CA) and Ukiah Adventist Hospital (Ukiah, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Crystal Kimball's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Crystal Kimball was last updated on February 24, 2023. 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.
# Mrs. Crystal Noel Kimball, FNP, RN · NPI 1316646797
Primary Care physician in Ukiah, California. Individual provider, active in the CMS NPPES registry since February 24, 2023.
## Identity
- **NPI:** 1316646797 (Entity type: Individual)
- **Enumerated:** February 24, 2023
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 95024333 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1050 N STATE ST, Ukiah, CA 95482-3414
- **Phone:** (707) 662-3111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Adventist Health Physicians Network (NPI 1285081778, Ukiah, CA); Ukiah Adventist Hospital (NPI 1235120676, Ukiah, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1316646797) · Data from the CMS NPPES public registry.