MS. KIMBERLY TA – Family Nurse Practitioner, NPI 1639839418
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 MS. KIMBERLY TA
13458 TREASURE WAY
CHINO HILLS, CA 917091223
Phone: (909) 720-4805
Type: Mailing
5253 RIVERSIDE DR
CHINO, CA 917104151
Phone: (909) 464-2845
Fax: (909) 464-2848
Type: Location
3110 E GUASTI RD STE 315
ONTARIO, CA 917611258
Phone: (909) 942-5666
Fax: (909) 435-4202
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $348.
Total Amount is formed as General ($348) + Research ($0) + Ownership ($0) = $348.
Last reported payment date: 2024-04-12 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($152).
Total Amount
$348
General + Research + Ownership
Payments
6
Total payment records
General Amount
$348
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences Inc. | $152 |
| Lilly USA, LLC | $125 |
| Phadia US Inc. | $25 |
| Hologic Sales and Service, LLC | $23 |
| Novo Nordisk Inc | $21 |
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: 2022-01-03
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 |
|---|---|---|---|---|
| I20220103000648 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 97 | 54 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 39 | 27 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 25 | 16 | $0 |
| 81002 | Urinalysis, manual test | 20 | 17 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 15 | 13 | $0 |
Insurance plans in this area (ZIP 91709)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | CA | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA |
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