KIMBERLY JOHNSON NURSE PRACTITIONER
NPI 1386391555
Nurse Practitioner in Hemet, CA

Active since March 07, 2022PECOS EnrolledAccepts Medicare Assignment
3989 W STETSON AVE STE 202, HEMET, CA 92545(951) 652-3558(951) 652-5547 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Johnson Nurse Practitioner NPPES

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

KIMBERLY JOHNSON NURSE PRACTITIONER (NPI 1386391555) is an individual nurse practitioner in Hemet, California, licensed in California (95019553) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Bernardino, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1386391555
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMBERLY JOHNSONCredential: NURSE PRACTITIONER
Location Address3989 W STETSON AVE STE 202Hemet, CA 92545-9697
Mailing Address3660 Park Sierra Dr Ste 203Riverside, CA 92505-3071 · (951) 687-3400 · Fax (951) 687-7630
Fax(951) 652-5547
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 7, 2022
Last NPPES UpdateMarch 17, 2022
NPPES CertifiedMarch 17, 2022
NPI 1386391555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95019553
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95019553 (CA)
3989 W STETSON AVE STE 202, Hemet, CA 92545

Secondary Practice Location 1

Location 1401 E Highland Ave Ste 551San Bernardino, CA 92404-3840 · Phone (909) 882-9150 · Fax (909) 883-8972

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 Nurse Practitioner 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 ID1557757416
PECOS Enrollment IDI20220404000052
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.

Areas of Expertise CMS Part B claims 2

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.

Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
25 services18 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92545 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 4

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

Internal Medicine (Nephrology)
3989 W STETSON AVE STE 202
HEMET, CA 92545
Nurse Practitioner
3989 W STETSON AVE STE 202
HEMET, CA 92545
Internal Medicine (Nephrology)
3989 W STETSON AVE STE 202
HEMET, CA 92545
Internal Medicine (Nephrology)
3989 W STETSON AVE STE 202
HEMET, CA 92545

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 1386391555. It was assigned to this individual provider in the NPPES registry on March 7, 2022.

Where is Kimberly Johnson located?

Kimberly Johnson practices at 3989 W Stetson Ave Ste 202, Hemet, CA 92545. The listed phone number is (951) 652-3558.

What is Kimberly Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

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 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.