KIMBERLEY K HERNER MD
NPI 1740202514
Family Medicine in Seattle, WA

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
9245 RAINIER AVE S, SEATTLE, WA 98118(206) 548-5850 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2024, Mar 10, 2020 (2 updates tracked since 2020).

About Kimberley K Herner Md NPPES

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

KIMBERLEY K HERNER MD (NPI 1740202514) is an individual family medicine provider in Seattle, Washington, licensed in Washington (MD00032100) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Covington, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1992).

NPPES Registry Identity

NPI1740202514
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIMBERLEY K HERNERCredential: MD
Location Address9245 RAINIER AVE SSeattle, WA 98118-5569
Mailing Address1200 12th Ave S Ste 901Seattle, WA 98144-2712 · (206) 548-3114 · Fax (206) 962-2342
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1992
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 30, 20242 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1740202514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00032100
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License MD00032100 (WA)
9245 RAINIER AVE S, Seattle, WA 98118

Secondary Practice Location 1

Location 127500 168th Pl SECovington, WA 98042-5563 · Phone (256) 903-4304 · Fax (425) 690-9430

Other Identifiers 2

Medicaid1045456WA
OtherG8891459WA · Medicare - Valley Medical Group

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberley K Herner Md 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 ID7618901505
PECOS Enrollment IDI20050920001205
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 Reassignments

2

Medicare enrollment records show Kimberley Herner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
9245 RAINIER AVE S
Seattle, WA 98118
  • Reassigned Medicare billing, Washington enrollment
  • 292 clinicians in this Medicare group
General Acute Care Hospital
400 S 43RD ST
Renton, WA 98055
  • Reassigned Medicare billing, Washington enrollment
  • 689 clinicians in this Medicare group

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 98118 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Nurse Practitioner (Family)
9245 RAINIER AVE S
SEATTLE, WA 98118
Pharmacy (Clinic Pharmacy)
9245 RAINIER AVE S
SEATTLE, WA 98118
Dentist (General Practice)
9245 RAINIER AVE S
SEATTLE, WA 98118
Dentist
9245 RAINIER AVE S
SEATTLE, WA 98118
Nurse Practitioner
9245 RAINIER AVE S
SEATTLE, WA 98118
Counselor (Mental Health)
9245 RAINIER AVE S
SEATTLE, WA 98118
Nurse Practitioner (Family)
9245 RAINIER AVE S
SEATTLE, WA 98118
Counselor
9245 RAINIER AVE S
SEATTLE, WA 98118

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 Kimberley Herner's NPI number?

The NPI number for Kimberley Herner is 1740202514. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Kimberley Herner located?

Kimberley Herner practices at 9245 Rainier Ave S, Seattle, WA 98118. The listed phone number is (206) 548-5850.

What is Kimberley Herner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kimberley Herner enrolled in Medicare?

Yes. Kimberley Herner 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.

Which organizations bill Medicare for Kimberley Herner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberley Herner reassigns Medicare benefits to 2 organizations: Neighborcare Health (Seattle, WA) and Valley Medical Group-Renton (Renton, WA). Each 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 Kimberley Herner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberley Herner accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kimberley Herner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberley Herner was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.