Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Johnson, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1386391555

Kimberly Johnson, NURSEPRACTITIONER is a Nurse Practitioner in Hemet, California. Qualified in 2020, 6 years ago. Practices with Nephrology Associates Medical Group Inc, a 64-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

3989 W Stetson Ave Ste 202
Hemet, CA 92545-9697
Phone: (951) 652-3558
Fax: (951) 652-5547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 E Highland Ave Ste 551, San Bernardino, CA 92404-3840 — (909) 882-9150

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95019553 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95019553 (CA)

Record details

NPI number1386391555
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMarch 7, 2022
Last updated in NPPESMarch 17, 2022
Certification dateMarch 17, 2022
Mailing address3660 Park Sierra Dr Ste 203, Riverside, CA 92505-3071

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Nephrology Associates Medical Group Inc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hemet