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MS. KIMBERLY ANN JOHNSON NP
NPI 1477024370
Nurse Practitioner - Adult Health in Chula Vista, CA

Active since December 17, 2018PECOS EnrolledAccepts Medicare Assignment
429 BROADWAY, CHULA VISTA, CA 91910(619) 434-0204(619) 337-0191 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2022, Dec 17, 2018 (2 updates tracked since 2018).

About Ms. Kimberly Ann Johnson Np NPPES

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

MS. KIMBERLY ANN JOHNSON NP (NPI 1477024370) is an individual adult health provider in Chula Vista, California, licensed in California (95010364) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1477024370
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. KIMBERLY ANN JOHNSONCredential: NP
Location Address429 BROADWAYChula Vista, CA 91910-4320
Mailing Address429 BroadwayChula Vista, CA 91910-4320 · (619) 434-0204 · Fax (619) 337-0191
Phone(619) 434-0204
Fax(619) 337-0191
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 17, 2018
Last NPPES UpdateSeptember 8, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2022
✔ NPI 1477024370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 95010364
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License NP95010364 (CA)
429 BROADWAY, Chula Vista, CA 91910
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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

Ms. Kimberly Ann Johnson 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 ID2365840667
PECOS Enrollment IDI20211015002599
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
311 services210 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
261 services187 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91910 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

HECTOR JAVIER RODRIGUEZ PA
Physician Assistant
429 BROADWAY
CHULA VISTA, CA 91910
San Diego County (619) 434-0204
JOANNA YOUSIF
Physician Assistant
429 BROADWAY
CHULA VISTA, CA 91910
San Diego County (619) 434-0204
MS. PRISCILLA STEPHANIE INDA PA-C
Physician Assistant
429 BROADWAY
CHULA VISTA, CA 91910
San Diego County (619) 434-0204
STEPHEN YAU MD
Internal Medicine (Cardiovascular Disease)
429 BROADWAY
CHULA VISTA, CA 91910
San Diego County (619) 434-0204

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 1477024370. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Kimberly Johnson located?

Kimberly Johnson practices at 429 Broadway, Chula Vista, CA 91910. The listed phone number is (619) 434-0204.

What is Kimberly Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

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 September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.