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KIMBERLY WALLER-JOHNSON APRN
NPI 1528675386
Nurse Practitioner - Acute Care in North Little Rock, AR

Active since September 25, 2020PECOS Enrolled
4000 RICHARDS RD STE 4000, NORTH LITTLE ROCK, AR 72117(501) 758-5133(501) 758-5173 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 11, 2022, Jun 16, 2021, Sep 25, 2020 (3 updates tracked since 2020).

About Kimberly Waller-johnson Aprn NPPES

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

KIMBERLY WALLER-JOHNSON APRN (NPI 1528675386) is an individual acute care provider in North Little Rock, Arkansas, licensed in Arkansas (213192) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528675386
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKIMBERLY WALLER-JOHNSONCredential: APRN
Location Address4000 RICHARDS RD STE 4000North Little Rock, AR 72117-2650
Mailing Address4000 Richards Rd Ste ANorth Little Rock, AR 72117-2939 · (501) 758-5133 · Fax (501) 758-5173
Phone(501) 758-5133
Fax(501) 758-5173
Sole ProprietorNo
Enumeration DateSeptember 25, 2020
Last NPPES UpdateNovember 11, 20223 updates tracked since enumeration
NPPES CertifiedNovember 11, 2022
✔ NPI 1528675386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AR · 213192
Also ListedRegistered NurseTaxonomy 163W00000X · License R082821 (AR)
4000 RICHARDS RD STE 4000, North Little Rock, AR 72117
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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 (PECOS)

Kimberly Waller-johnson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 72117 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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 Waller-johnson's NPI number?

The NPI number for Kimberly Waller-johnson is 1528675386. It was assigned to this individual provider in the NPPES registry on September 25, 2020.

Where is Kimberly Waller-johnson located?

Kimberly Waller-johnson practices at 4000 Richards Rd Ste 4000, North Little Rock, AR 72117. The listed phone number is (501) 758-5133.

What is Kimberly Waller-johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kimberly Waller-johnson enrolled in Medicare?

Yes. Kimberly Waller-johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Waller-johnson was last updated on November 11, 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.