KIMBERLY SUE JOHNSON (CRNP) – Gerontology Nurse Practitioner, NPI 1598280984

KIMBERLY SUE JOHNSON (CRNP) is a healthcare provider. based in Decatur, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-129644 (AL). The NPI Number for KIMBERLY SUE JOHNSON (CRNP) is 1598280984

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY SUE JOHNSON (CRNP)
NPI
1598280984
Phone
(256) 973-5410
Address
PO BOX 2239
Enumeration Date
7 August 2017
Last Update Date
7 August 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2563512116
Graduation Year
2016 (10 years ago)
PAC ID
5799049888
Group Practice PAC ID
4385618784
Professional Enrollment ID
I20180425000982
Address ID
AL356031538DE2828X117X500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for KIMBERLY SUE JOHNSON (CRNP)

  • 2239, Hampton Drive, Decatur, DeKalb County, Georgia, 30035-3633, United States

    DECATUR, AL 356092239

    Phone: (256) 973-5410

    Fax: (256) 973-5413

    Type: Mailing

  • 7th Street Southeast, Albany, Decatur, Morgan County, Alabama, 35601, United States

    DECATUR, AL 356013337

    Phone: (256) 973-5410

    Fax: (256) 973-5413

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180425000982INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4542$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 35609)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385618784View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YAL
Nurse PractitionerAL
Gastroenterology, Internal MedicineAL
-AL
Nurse PractitionerAL
Gastroenterology, Internal MedicineAL

Reviews

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Frequently asked questions

Can I verify KIMBERLY SUE JOHNSON (CRNP) with an NPI only?
You can start verification with NPI 1598280984 for KIMBERLY SUE JOHNSON (CRNP), then check state licensing separately.
Does the file indicate KIMBERLY SUE JOHNSON (CRNP) is practicing under active NPI?
Directory data currently reports KIMBERLY SUE JOHNSON (CRNP) as active.
What is KIMBERLY SUE JOHNSON (CRNP)'s specialty?
The listing groups KIMBERLY SUE JOHNSON (CRNP) with Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect KIMBERLY SUE JOHNSON (CRNP) on a map?
Expect Decatur, Alabama as a primary anchor for KIMBERLY SUE JOHNSON (CRNP) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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