KIMBERLY JOHNSON RN,NP
NPI 1356717276
Nurse Practitioner - Acute Care in Columbia, SC
About Kimberly Johnson Rn,np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY JOHNSON RN,NP (NPI 1356717276) is an individual acute care provider in Columbia, South Carolina, licensed in South Carolina (24253) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
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
Kimberly Johnson Rn,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.
Medicare Billing Reassignments
5Medicare enrollment records show Kimberly Johnson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbia, SC 29203
- Reassigned Medicare billing, South Carolina enrollment
- 631 clinicians in this Medicare group
Moncks Corner, SC 29461
- Reassigned Medicare billing, South Carolina enrollment
- 2 clinicians in this Medicare group
Staten Island, NY 10301
- Reassigned Medicare billing, New York enrollment
- 724 clinicians in this Medicare group
Bohemia, NY 11716
- Reassigned Medicare billing, New York enrollment
- 754 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, South Carolina enrollment
- 311 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 29203 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 20
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 Johnson's NPI number?
The NPI number for Kimberly Johnson is 1356717276. It was assigned to this individual provider in the NPPES registry on August 14, 2015.
Where is Kimberly Johnson located?
Kimberly Johnson practices at 111 Doctor Cir, Columbia, SC 29203. The listed phone number is (800) 491-0909.
What is Kimberly Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kimberly Johnson enrolled in Medicare?
Yes. Kimberly Johnson 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 Kimberly Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Johnson reassigns Medicare benefits to 5 organizations: Sc House Calls Inc (Columbia, SC), Nu South Providers (Moncks Corner, SC), Advantagecare Physicians PC (Staten Island, NY), Brookview Medical Associates, PLLC (Bohemia, NY) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Kimberly Johnson'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 Kimberly Johnson was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kimberly Johnson, RN,NP · NPI 1356717276
Acute Care physician in Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since August 14, 2015.
## Identity
- **NPI:** 1356717276 (Entity type: Individual)
- **Enumerated:** August 14, 2015
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 24253 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 DOCTOR CIR, Columbia, SC 29203-6502
- **Phone:** (800) 491-0909
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Sc House Calls Inc (NPI 1518048859, Columbia, SC); Nu South Providers (NPI 1144038274, Moncks Corner, SC); Advantagecare Physicians PC (NPI 1063954113, Staten Island, NY); Brookview Medical Associates, PLLC (NPI 1871965855, Bohemia, NY); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** March 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1356717276) · Data from the CMS NPPES public registry.