KIMBERLY ANN JOHNSON (D.C.) – Chiropractor, NPI 1003911108

KIMBERLY ANN JOHNSON (D.C.) is a healthcare provider. based in Burnsville, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 003655 (MN). The NPI Number for KIMBERLY ANN JOHNSON (D.C.) is 1003911108

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ANN JOHNSON (D.C.)
NPI
1003911108
Phone
(952) 435-6557
Address
2516 FRIENDSHIP LN
Enumeration Date
13 September 2006
Last Update Date
24 April 2023

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
9524457890
Graduation Year
1997 (29 years ago)
PAC ID
7214035427
Professional Enrollment ID
I20070612000716
Address ID
MN553792135SH1240XEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,642 CHIROPRACTIC in MN

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Provider Addresses for KIMBERLY ANN JOHNSON (D.C.)

  • 2516, Friendship Lane, Burnsville, Dakota County, Minnesota, 55337, United States

    BURNSVILLE, MN 553374247

    Phone: (952) 435-6557

    Fax: (952) 445-7893

    Type: Mailing

  • 1240, 3rd Avenue East, Valley Haven Mobile Home Park, Shakopee, Scott County, Minnesota, 55379, United States

    SHAKOPEE, MN 553791679

    Phone: (952) 445-7890

    Fax: (953) 445-7893

    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: 2007-06-12

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
I20070612000716IChiropracticMNTBD

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
98940Chiropractic manipulative treatment, 1-2 spinal regions25312$0
View full utilization report →

Insurance plans in this area (ZIP 55337)

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Provider's Procedures

KIMBERLY ANN JOHNSON (D.C.) performs procedures in CHIROPRACTIC. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICMN98940Chiropractic manipulative treatment, 1-2 spinal regions32417

Reviews

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Frequently asked questions

What NPI should I save for KIMBERLY ANN JOHNSON (D.C.)?
Save NPI 1003911108 if you need a stable reference for KIMBERLY ANN JOHNSON (D.C.).
Is KIMBERLY ANN JOHNSON (D.C.)'s NPI currently valid?
The extract we use shows KIMBERLY ANN JOHNSON (D.C.) as active.
Can you summarize KIMBERLY ANN JOHNSON (D.C.)'s specialty in plain language?
Clinically, the directory lists KIMBERLY ANN JOHNSON (D.C.) with Chiropractor. Clinical services aligned with this taxonomy classification.
Where is KIMBERLY ANN JOHNSON (D.C.)'s primary listing?
We display Burnsville, Minnesota because that is what the record indicates for KIMBERLY ANN JOHNSON (D.C.).
How can I contact KIMBERLY ANN JOHNSON (D.C.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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