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MS. KIMBERLY REY NURSE PRACTITIONER
NPI 1841978368
Nurse Practitioner - Primary Care in Roseville, CA

Active since July 05, 2023PECOS Enrolled
11801 GO FOR BROKE RD, ROSEVILLE, CA 95678(916) 409-8262 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kimberly Rey Nurse Practitioner NPPES

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

MS. KIMBERLY REY NURSE PRACTITIONER (NPI 1841978368) is an individual primary care provider in Roseville, California, licensed in California (95025251) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1841978368
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMS. KIMBERLY REYCredential: NURSE PRACTITIONER
Location Address11801 GO FOR BROKE RDRoseville, CA 95678-7055
Mailing AddressPo Box 9148Auburn, CA 95604-9148 · (619) 565-9137
Phone(916) 409-8262
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 5, 2023
NPPES CertifiedJuly 5, 2023
✔ NPI 1841978368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95025251
11801 GO FOR BROKE RD, Roseville, CA 95678
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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)

Ms. Kimberly Rey Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42794984
PECOS Enrollment IDI20260319000553
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 95678 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATIVE HEALTH, A PROFESSIONAL NURSING CORPORATION
Nursing Care
11801 GO FOR BROKE RD
ROSEVILLE, CA 95678
Placer County (619) 565-9137
MR. STEVEN CHARLES FRANK PHYSICIAN ASSISTANT
Physician Assistant
11801 GO FOR BROKE RD
ROSEVILLE, CA 95678
Placer County (916) 409-8261
KYLE DAVID JASPER PMHNP, MSN, RN
Nurse Practitioner (Psychiatric/Mental Health)
11801 GO FOR BROKE RD
ROSEVILLE, CA 95678
Placer County (916) 409-8261

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 Rey's NPI number?

The NPI number for Kimberly Rey is 1841978368. It was assigned to this individual provider in the NPPES registry on July 5, 2023.

Where is Kimberly Rey located?

Kimberly Rey practices at 11801 Go For Broke Rd, Roseville, CA 95678. The listed phone number is (916) 409-8262.

What is Kimberly Rey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kimberly Rey enrolled in Medicare?

Yes. Kimberly Rey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Rey was last updated on July 5, 2023. 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.