| Kimberly Lane, NURSE PRACTIONER | |
|
8851 Center Dr, Suite 501, La Mesa, CA 91942-3017 | |
| (619) 697-2456 | |
| (619) 697-2494 |
| Full Name | Kimberly Lane |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 34 Years |
| Location | 8851 Center Dr, La Mesa, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457670119 | NPI | - | NPPES |
| 337173 | Other | CA | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 337173 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grossmont Hospital | La mesa, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Genesis Healthcare Partners Pc | 2163606807 | 184 |
| Entity Name | Genesis Healthcare Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548567498 PECOS PAC ID: 2163606807 Enrollment ID: O20110405000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Lane, NURSE PRACTIONER 8851 Center Dr, Suite 501, La Mesa, CA 91942-3017 Ph: (619) 697-2456 | Kimberly Lane, NURSE PRACTIONER 8851 Center Dr, Suite 501, La Mesa, CA 91942-3017 Ph: (619) 697-2456 |
Kristina Katarina Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Pkwy Ste 250, La Mesa, CA 91942 Phone: 714-609-0201 | |
Ms. Kia Lee, MSN, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr Ste 1, La Mesa, CA 91942 Phone: 619-567-1550 | |
Miss April Julia Cromie, PMHNP-BC, APRN, MSN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 5555 Grossmont Center Dr, 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-296-6182 | |
Farhana Maswood, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5332 Jackson Dr, La Mesa, CA 91942 Phone: 619-303-0933 | |
Hoda Melissa Kashikar, RN, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Pkwy, Suite 360, La Mesa, CA 91942 Phone: 619-460-2700 | |
Chelsea Provenzano, MSN, FNP- C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8851 Center Dr Ste 408, La Mesa, CA 91942 Phone: 619-583-1174 Fax: 619-583-4609 | |
Hannah Bradley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5111 Garfield St Ste B, La Mesa, CA 91941 Phone: 619-698-9375 |