DR. KIMBERLY RENEE FORMO D.C.
NPI 1336330877
Chiropractor in Woodinville, WA
About Dr. Kimberly Renee Formo D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIMBERLY RENEE FORMO D.C. (NPI 1336330877) is an individual chiropractor in Woodinville, Washington, licensed in Washington (CH00034796) and active in the NPI registry since August 2007. She is a graduate of Western States College Of Chiropractic (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dr. Kimberly Renee Formo D.c. 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 Reassignment
Medicare enrollment records show Kimberly Formo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodinville, WA 98072
- Reassigned Medicare billing, Washington enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 6
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 Kimberly Formo's NPI number?
The NPI number for Kimberly Formo is 1336330877. It was assigned to this individual provider in the NPPES registry on August 8, 2007.
Where is Kimberly Formo located?
Kimberly Formo practices at 17401 135th Ave NE Suite 4, Woodinville, WA 98072. The listed phone number is (425) 483-2320.
What is Kimberly Formo's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Kimberly Formo enrolled in Medicare?
Yes. Kimberly Formo 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 organization bills Medicare for Kimberly Formo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Formo reassigns Medicare benefits to Formo Enterprises, Inc (Woodinville, WA). The 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 Kimberly Formo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Formo accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Kimberly Formo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kimberly Formo was last updated on August 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Kimberly Renee Formo, D.C. · NPI 1336330877
Chiropractor provider in Woodinville, Washington. Individual provider, active in the CMS NPPES registry since August 8, 2007.
## Identity
- **NPI:** 1336330877 (Entity type: Individual)
- **Enumerated:** August 8, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CH00034796 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 17401 135TH AVE NE, SUITE 4, Woodinville, WA 98072-6825
- **Phone:** (425) 483-2320 · **Fax:** (425) 424-3256
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Formo Enterprises, Inc (NPI 1275899460, Woodinville, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Western States College Of Chiropractic, class of 2007
## Record status
- **NPPES last updated:** August 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1336330877) · Data from the CMS NPPES public registry.