Kimberly A Johnson, APRN in Yorktown, VA - Medicare Nurse Practitioner

Kimberly A Johnson, APRN is a medicare enrolled "Nurse Practitioner - Family" in Yorktown, Virginia. Her current practice location is 100 Enterprise Dr, Yorktown, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 736-3725.

Kimberly A Johnson is licensed to practice in Virginia (license number 0024177320) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730150889.

Contact Information

	Kimberly A Johnson, APRN
	100 Enterprise Dr, Yorktown, VA 23692-3190
	(757) 736-3725
	(757) 431-7782

Map and Direction

Provider's Profile

Full Name	Kimberly A Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	100 Enterprise Dr, Yorktown, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730150889
Provider Enumeration Date: 01/27/2006
Last Update Date: 01/16/2023

Medicare PECOS Information:

PECOS PAC ID: 4183609068
Enrollment ID: I20040623001254

Medical Identifiers

Medical identifiers for Kimberly A Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730150889	NPI	-	NPPES
1730150889	Medicaid	MO
P01230388	Other	MO	RR MEDICARE
138414	Other	MO	RN FNPC LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	138414 (Missouri)	Secondary
363LF0000X	Nurse Practitioner - Family	0024177320 (Virginia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly A Johnson allows following entities to bill medicare on her behalf.

Entity Name	Saint Lukes Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly A Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly A Johnson, APRN 100 Enterprise Dr, Yorktown, VA 23692-3190 Ph: (757) 736-3725	Kimberly A Johnson, APRN 100 Enterprise Dr, Yorktown, VA 23692-3190 Ph: (757) 736-3725

Reviews and Comments

Nurse Practitioner Nurses in Yorktown, VA

Mrs. Beatrice M Klusman, APRN BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 Hampton Hwy, Yorktown, VA 23693 Phone: 757-865-1843 Fax: 757-865-7485
Christina Roche, APRN, FNP-C, CCRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 Artillery Rd, Yorktown, VA 23692 Phone: 727-858-6634
Mrs. Diana M Gordon, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3212 Hampton Hwy, Suite B, Yorktown, VA 23693 Phone: 757-867-6160
Dr. Melinda Anna Barker, RN, PHD, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 Hampton Hwy, Yorktown, VA 23693 Phone: 757-865-1843 Fax: 757-865-7485
Rachel Murray Mcclure, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1620 Old Williamsburg Rd, Yorktown, VA 23690 Phone: 757-886-0608
Samantha R. Hughes, FNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 Village Ave Ste P, Yorktown, VA 23693 Phone: 757-316-5050
Ms. Suzanne Marie Wall, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Bldg 1806 Branch Medical Clinic, Naval Weapons Station, Yorktown, VA 23691 Phone: 757-953-8430 Fax: 757-953-8450

Kimberly A Johnson, APRN - Medicare Nurse Practitioner in Yorktown, VA