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KIMBERLY BALMOREZ NP
NPI 1457167256
Nurse Practitioner in Santa Rosa, CA

Active since December 06, 2024PECOS Enrolled
751 LOMBARDI CT, SANTA ROSA, CA 95407(707) 303-3600 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 15, 2025, Dec 6, 2024 (2 updates tracked since 2024).

About Kimberly Balmorez Np NPPES

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

KIMBERLY BALMOREZ NP (NPI 1457167256) is an individual nurse practitioner in Santa Rosa, California, licensed in California (95036512) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1457167256
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMBERLY BALMOREZCredential: NP
Location Address751 LOMBARDI CTSanta Rosa, CA 95407-6798
Mailing Address751 Lombardi CtSanta Rosa, CA 95407-6798
Phone(707) 303-3600
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 6, 2024
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1457167256 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 · 95036512
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 ListedRegistered NurseTaxonomy 163W00000X · License 95348582 (CA)
751 LOMBARDI CT, Santa Rosa, CA 95407
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Balmorez Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850875303
PECOS Enrollment IDI20260323002084
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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Balmorez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Santa Rosa Community Health Centers
Same address
Federally Qualified Health Center (FQHC)
751 LOMBARDI COURT
Santa Rosa, CA 95407
  • Reassigned Medicare billing, California enrollment
  • 215 clinicians in this Medicare group
NPI 1386712065 (707) 547-2222

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 95407 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

SOPHIA ROSE WUEST
Nurse Practitioner (Psychiatric/Mental Health)
751 LOMBARDI CT
SANTA ROSA, CA 95407
Sonoma County (707) 303-3600
DR. PARKER ANDREW DUNCAN DIAZ MD, MPH, FAAFP
Family Medicine (Addiction Medicine)
751 LOMBARDI CT
SANTA ROSA, CA 95407
Sonoma County (707) 547-2222
DR. LAURA KIMBERLY REID D.D.S
Dentist (Dental Public Health)
751 LOMBARDI CT
SANTA ROSA, CA 95407
Sonoma County (707) 547-2221
DR. PAUL THOMPSON ATKINSON D.D.S., PH.D
Dentist (General Practice)
751 LOMBARDI CT
SANTA ROSA, CA 95407
Sonoma County (707) 547-2221
PAMELA C SARLANDT RN
Registered Nurse
751 LOMBARDI CT
SANTA ROSA, CA 95407
Sonoma County (707) 547-2222
NANCY BELL ALLEN FNP
Nurse Practitioner (Family)
751 LOMBARDI CT, SUITE A
SANTA ROSA, CA 95407
Sonoma County (707) 547-2266
ALLISON MICHELLE MAGYAR MSN, APRN, FNP-BC
Nurse Practitioner (Family)
751 LOMBARDI CT
SANTA ROSA, CA 95407
Sonoma County (707) 583-8770
JENNIFER LYNNE EID AMMONS FNP
Nurse Practitioner (Family)
751 LOMBARDI CT, SUITE A
SANTA ROSA, CA 95407
Sonoma County (707) 547-2266

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 Balmorez's NPI number?

The NPI number for Kimberly Balmorez is 1457167256. It was assigned to this individual provider in the NPPES registry on December 6, 2024.

Where is Kimberly Balmorez located?

Kimberly Balmorez practices at 751 Lombardi Ct, Santa Rosa, CA 95407. The listed phone number is (707) 303-3600.

What is Kimberly Balmorez's specialty?

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

Is Kimberly Balmorez enrolled in Medicare?

Yes. Kimberly Balmorez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Balmorez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Balmorez reassigns Medicare benefits to Santa Rosa Community Health Centers (Santa Rosa, CA). 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 Balmorez'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 Balmorez was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.