KIMBERLY D WILSON
NPI 1447772124
Dental Hygienist in Olivehurst, CA
NPI Status: Active since July 13, 2017
Contact Information
4941 OLIVEHURST AVE
OLIVEHURST, CA
ZIP 95961
Phone: (530) 743-4614
- Individual
- Female
- Years of Experience 17
- Dental Hygienist
- May Accept Medicare Approved Payment
- PECOS Enrolled
About KIMBERLY WILSON
This page provides the complete NPI Profile along with additional information for Kimberly Wilson, a provider established in Olivehurst, California with a medical specialization in Dental Hygienist and more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1447772124 assigned on July 2017. The practitioner's primary taxonomy code is 124Q00000X with license number 24554 (CA). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1447772124
- Provider Name
- KIMBERLY D WILSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4941 OLIVEHURST AVE OLIVEHURST, CA 95961
- Location Phone
- (530) 743-4614
- Mailing Address
- 935 MARKET ST YUBA CITY, CA 95991
- Mailing Phone
- (916) 292-2377
- Medical School Name
- OTHER
- Graduation Year
- 2009
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-13-2017
- Last Update Date
- 09-17-2020
- Code Navigator
Location Map
Secondary Locations
- 2240 E. Winrow Ave US Army Dental Clinic Command
fort Huachauca, AA 85613
(520) 533-3144
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dental Hygienist
- Taxonomy Code
- 124Q00000X
- Type
- Dental Providers
- License No.
- 24554
- License State
- CA
- Taxonomy Description
- An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Medicare Participation & PECOS Enrollment Status
Kimberly Wilson is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Kimberly Wilson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8628584158
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250722002679
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1447772124, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
OLIVEHURST, CA 95961
OLIVEHURST, CA 95961
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447772124, enumerated as an "individual" on July 13, 2017.
The provider is located at 4941 OLIVEHURST AVE OLIVEHURST, CA 95961 and the phone number is (530) 743-4614.
Dental Hygienist with taxonomy code 124Q00000X.
