KIMBERLY JOHNSON RN,NP
NPI 1356717276
Nurse Practitioner - Acute Care in Columbia, SC

Active since August 14, 2015PECOS EnrolledAccepts Medicare Assignment
111 DOCTOR CIR, COLUMBIA, SC 29203(800) 491-0909 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 27, 2026, Nov 2, 2022, Sep 13, 2019 and 3 more (6 updates tracked since 2015).

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 and is a graduate of Other (2012).

NPPES Registry Identity

NPI1356717276
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKIMBERLY JOHNSONCredential: RN,NP
Location Address111 DOCTOR CIRColumbia, SC 29203-6502
Mailing Address111 Doctor CirColumbia, SC 29203-6502 · (800) 491-0909
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 14, 2015
Last NPPES UpdateMarch 27, 20266 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
NPI 1356717276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in SC · 24253
Also ListedNurse PractitionerTaxonomy 363L00000X · License 24052 (SC)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 307462 (NY)
111 DOCTOR CIR, Columbia, SC 29203

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

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.

PECOS PAC ID4183928526
PECOS Enrollment IDI20211206002174
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 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.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 20

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

Nurse Practitioner (Psychiatric/Mental Health)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner
111 DOCTOR CIR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
111 DOCTOR CIR
COLUMBIA, SC 29203

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.

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 4 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.