MS. KIMBERLY REY NURSE PRACTITIONER
NPI 1841978368
Nurse Practitioner - Primary Care in Roseville, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kimberly Rey Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Rey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Long Beach, CA 90803
- Reassigned Medicare billing, California enrollment
- 2 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 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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEVILLE, CA 95678
ROSEVILLE, CA 95678
ROSEVILLE, CA 95678
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.
Which organization bills Medicare for Kimberly Rey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Rey reassigns Medicare benefits to Ethos Care Management (Long Beach, CA). The 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 Kimberly Rey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Ms. Kimberly Rey, NURSE PRACTITIONER · NPI 1841978368
Primary Care physician in Roseville, California. Individual provider, active in the CMS NPPES registry since July 5, 2023.
## Identity
- **NPI:** 1841978368 (Entity type: Individual)
- **Enumerated:** July 5, 2023
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 95025251 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11801 GO FOR BROKE RD, Roseville, CA 95678-7055
- **Phone:** (916) 409-8262
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ethos Care Management (NPI 1720961139, Long Beach, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1841978368) · Data from the CMS NPPES public registry.