Ms Kimberly L Johnson, NP - Medicare Nurse Practitioner in Mooresville, NC

Ms Kimberly L Johnson, NP is a medicare enrolled "Nurse Practitioner - Family" in Mooresville, North Carolina. Her current practice location is 131 Welton Way, Mooresville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 360-4564.

Ms Kimberly L Johnson is licensed to practice in North Carolina (license number 5005051) 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 1518272707.

Contact Information

Ms Kimberly L Johnson, NP
131 Welton Way,
Mooresville, NC 28117-9163
(704) 360-4564
(704) 360-4553

Map and Direction




Provider's Profile

Full NameMs Kimberly L Johnson
GenderFemale
SpecialityNurse Practitioner - Family
Location131 Welton Way, Mooresville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518272707
  • Provider Enumeration Date: 08/11/2010
  • Last Update Date: 08/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1456514363
  • Enrollment ID: I20120511000300

Medical Identifiers

Medical identifiers for Ms Kimberly L Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518272707NPI-NPPES
1518272707OtherNCNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F0709387 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 336144 (New York)Secondary
363LF0000XNurse Practitioner - Family 5005051 (North Carolina)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. Ms Kimberly L Johnson allows following entities to bill medicare on her behalf.
Entity NameCarolina Pain And Weight Loss
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598101974
PECOS PAC ID: 7113168824
Enrollment ID: O20130723000379

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. Ms Kimberly L 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 AddressPractice Location Address
Ms Kimberly L Johnson, NP
131 Welton Way,
Mooresville, NC 28117-9163

Ph: (704) 360-4564
Ms Kimberly L Johnson, NP
131 Welton Way,
Mooresville, NC 28117-9163

Ph: (704) 360-4564

Reviews and Comments


Nurse Practitioner Nurses in Mooresville, NC

Erin Abbey Gray, FPN-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 131 Medical Park Rd, Suite # 303, Mooresville, NC 28117
Phone: 704-660-4584    Fax: 704-696-2929
Marykay Holt, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 106 Corporate Park Dr Ste 200&300, Mooresville, NC 28117
Phone: 704-235-9090    Fax: 704-235-9101
Mrs. Deborah O'neil Speaks, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 559 River Hwy, Mooresville, NC 28117
Phone: 704-663-3438    
Kristin Lea Rice, PNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 128 Medical Park Rd Ste 200, Mooresville, NC 28117
Phone: 704-696-2085    
Amy Andersen Bush, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 170 Medical Park Rd Ste 101, Mooresville, NC 28117
Phone: 980-302-7070    Fax: 980-302-7075
Dawn Marie Cahn, NP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 137 Shavender Dr, Mooresville, NC 28117
Phone: 203-856-0745    
Elizabeth Rudisill Hayes, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 128 Argus Ln Ste G, Mooresville, NC 28117
Phone: 704-660-4362    Fax: 704-660-0442

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.