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KIMBERLY WONG MSN
NPI 1679957740
Nurse Practitioner - Family in Oakland, CA

Active since July 17, 2015PECOS EnrolledAccepts Medicare Assignment
5095 TELEGRAPH AVE, OAKLAND, CA 94609(800) 972-5547 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2020, Aug 10, 2016 (2 updates tracked since 2016).

About Kimberly Wong Msn NPPES

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

KIMBERLY WONG MSN (NPI 1679957740) is an individual family provider in Oakland, California, licensed in California (NP95004565) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Ramon, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1679957740
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY WONGCredential: MSN
Location Address5095 TELEGRAPH AVEOakland, CA 94609-2066
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (800) 972-5547
Phone(800) 972-5547
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 17, 2015
Last NPPES UpdateJune 11, 20202 updates tracked since enumeration
NPPES CertifiedJune 11, 2020
✔ NPI 1679957740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP95004565
Also ListedRegistered NurseTaxonomy 163W00000X · License 687077 (NY)
5095 TELEGRAPH AVE, Oakland, CA 94609
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Secondary Practice Location 1

Location 12455 San Ramon Valley BlvdSan Ramon, CA 94583-1601 · Phone (510) 508-3109

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

Kimberly Wong Msn 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 ID7618263195
PECOS Enrollment IDI20160909000232
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 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.
57 services54 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
44 services44 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94609 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 Wong's NPI number?

The NPI number for Kimberly Wong is 1679957740. It was assigned to this individual provider in the NPPES registry on July 17, 2015.

Where is Kimberly Wong located?

Kimberly Wong practices at 5095 Telegraph Ave, Oakland, CA 94609. The listed phone number is (800) 972-5547.

What is Kimberly Wong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Wong enrolled in Medicare?

Yes. Kimberly Wong 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 Wong was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.