KIMBERLY LYNN ANDERSON (FNP-C) – Family Nurse Practitioner, NPI 1851308191

KIMBERLY LYNN ANDERSON (FNP-C) is a healthcare provider. based in Santa maria, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 17205 (CA). The NPI Number for KIMBERLY LYNN ANDERSON (FNP-C) is 1851308191

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY LYNN ANDERSON (FNP-C)
NPI
1851308191
Phone
(805) 922-8282
Address
3070 SKYWAY DR STE 106
Enumeration Date
1 August 2006
Last Update Date
22 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8054661330
Graduation Year
2004 (22 years ago)
PAC ID
5698796563
Group Practice PAC ID
2264561125
Professional Enrollment ID
I20200227001008
Address ID
CA934225571AT9700XREAL401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience98
Completeness75
Years active:19State licenses:5Digital endpointsOther names

16,538 NURSE PRACTITIONER in CA

Provider Addresses for KIMBERLY LYNN ANDERSON (FNP-C)

  • 3070 SKYWAY DR STE 106

    SANTA MARIA, CA 934551830

    Phone: (805) 922-8282

    Fax: (844) 278-8613

    Type: Location

  • 100, North Street, South Taft, Taft, Kern County, California, 93268, United States

    TAFT, CA 93268

    Phone: (661) 765-1935

    Fax: (661) 765-1928

    Type: Location

  • Town Center West, North Santa Maria, Santa Maria, Santa Barbara County, California, United States

    SANTA MARIA, CA 934585075

    Phone: (907) 351-2907

    Fax: (844) 278-8613

    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 $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Medtronic, Inc. ($50).

Total Amount

$130

General + Research + Ownership

Payments

6

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-02-27

PECOS data refreshed: 2026-06-15

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
I20200227001008INurse PractitionerCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93455)

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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: 2264561125View full group profile
NameSpecialtyState
Family Practice, General PracticeCA
Physician AssistantCA
Nurse PractitionerCA
Physician AssistantCA
-CA
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the standard ID for KIMBERLY LYNN ANDERSON (FNP-C) in the U.S.?
In the U.S., KIMBERLY LYNN ANDERSON (FNP-C) is identified by NPI 1851308191.
Is KIMBERLY LYNN ANDERSON (FNP-C)'s NPI status active today?
Active status means KIMBERLY LYNN ANDERSON (FNP-C)'s NPI record is not deactivated in the public file.
How should patients interpret KIMBERLY LYNN ANDERSON (FNP-C)'s specialty?
The extract shows Family Nurse Practitioner for KIMBERLY LYNN ANDERSON (FNP-C). Clinical services aligned with this taxonomy classification.
Is KIMBERLY LYNN ANDERSON (FNP-C) tied to Santa Maria, California?
If you are local to Santa Maria, California, KIMBERLY LYNN ANDERSON (FNP-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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