KIMBERLY A ELLIOTT (FNP) – Family Nurse Practitioner, NPI 1033734900
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for KIMBERLY A ELLIOTT (FNP)
325 DISTEL CIR
LOS ALTOS, CA 940221408
Phone: (831) 460-7350
Type: Mailing
1662 DOMINICAN WAY
SANTA CRUZ, CA 950651522
Phone: (831) 460-7350
Type: Location
3400 DATA DR
RANCHO CORDOVA, CA 956707956
Phone:
Type: Mailing
360 SIERRA COLLEGE DR STE 120
GRASS VALLEY, CA 959455088
Phone: (530) 477-8358
Fax: (530) 477-2015
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $19 |
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: 2020-06-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200629001592 | I | Nurse Practitioner | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 98 | 90 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 80 | 80 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 66 | 61 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 47 | 41 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 33 | 32 | $0 |
Insurance plans in this area (ZIP 94022)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CA | |
| Emergency Medicine | CA | |
| Emergency Medicine | CA | |
| Emergency Medicine | CA | |
| - | CA | |
| - | CA | |
| Emergency Medicine | CA | |
| Emergency Medicine | CA | |
| Emergency Medicine | CA | |
| - | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.