1. Home
  2. Directory
  3. Michigan
  4. Ann Arbor
  5. Nurse Practitioner
  6. NPI Profile

MRS. KIMBERLY MARIE JOHNSON FNP
NPI 1679546865
Nurse Practitioner in Ann Arbor, MI

Active since February 09, 2006PECOS Enrolled
24 FRANK LLOYD WRIGHT DR, ANN ARBOR, MI 48105(734) 998-6022(734) 998-9139 Get Directions Write a Review

NPPES record last updated: November 25, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kimberly Marie Johnson Fnp NPPES

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

MRS. KIMBERLY MARIE JOHNSON FNP (NPI 1679546865) is an individual nurse practitioner in Ann Arbor, Michigan, licensed in Michigan (4704207635) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679546865
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KIMBERLY MARIE JOHNSONCredential: FNP
Location Address24 FRANK LLOYD WRIGHT DRAnn Arbor, MI 48105-9484
Mailing Address3621 South State Street, 700 Kms PlaceAnn Arbor, MI 48108 · (734) 936-2047
Phone(734) 998-6022
Fax(734) 998-9139
Sole ProprietorNo
Enumeration DateFebruary 9, 2006
Last NPPES UpdateNovember 25, 2013
✔ NPI 1679546865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704207635
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.
24 FRANK LLOYD WRIGHT DR, Ann Arbor, MI 48105
Open in Google Maps ↗

Other Identifiers 6

Medicare ID-Type Unspecified0N99340MI · 001
Medicare PIN0N99340002MI
Medicare ID-Type Unspecified0N99350MI · 099
Medicaid4830324-10MI
Medicare PIN0N99350002MI
Other5008657390MI · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kimberly Marie Johnson Fnp 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 48105 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
8 suppliers60 claims4,520 services$0.34 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers15 claims529 services$7.11 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197
DME-Medical/Surgical Supplies · category DA023N
8 suppliers19 claims782 services$15.71 avg. paid by Medicare
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216
DME-Medical/Surgical Supplies · category DA023N
5 suppliers30 claims7,800 services$0.04 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing A6223
DME-Medical/Surgical Supplies · category DA023N
4 suppliers12 claims285 services$2.34 avg. paid by Medicare
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252
DME-Medical/Surgical Supplies · category DA023N
5 suppliers16 claims807 services$3.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SARI PRIESAND DPM
Podiatrist
24 FRANK LLOYD WRIGHT DR, LOBBY C SUITE 1300
ANN ARBOR, MI 48105
Washtenaw County (734) 647-5871
JOHN DAVID BLAHA MD
Orthopaedic Surgery
24 FRANK LLOYD WRIGHT DR, LOBBY A
ANN ARBOR, MI 48105
Washtenaw County (734) 930-7400
PAMELA MARCOVITZ MD
Internal Medicine (Cardiovascular Disease)
24 FRANK LLOYD WRIGHT DR
ANN ARBOR, MI 48105
Washtenaw County (888) 287-1082
MRS. SUSAN RENEE BRIMACOMBE ATC
Specialist/Technologist (Athletic Trainer)
24 FRANK LLOYD WRIGHT DR, MEDSPORT LOBBY A
ANN ARBOR, MI 48105
Washtenaw County (734) 930-7400
DR. GARNEISHA MATRIECE TORRENCE DPM
Podiatrist
24 FRANK LLOYD WRIGHT DR, LOBBY C
ANN ARBOR, MI 48105
Washtenaw County (734) 647-5871
REGENTS OF THE UNIVERSITY OF MICHIGAN
Orthopaedic Surgery (Sports Medicine)
24 FRANK LLOYD WRIGHT DR
ANN ARBOR, MI 48105
Washtenaw County (734) 930-7400
ST JOSEPH MERCY HOSPITAL
Obstetrics & Gynecology
24 FRANK LLOYD WRIGHT DR
ANN ARBOR, MI 48105
Washtenaw County (734) 930-4020
JOSEPH BRYANT
Clinical Exercise Physiologist
24 FRANK LLOYD WRIGHT DR
ANN ARBOR, MI 48105
Washtenaw County (734) 998-4954

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 1679546865. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Kimberly Johnson located?

Kimberly Johnson practices at 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105. The listed phone number is (734) 998-6022.

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Johnson was last updated on November 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.