MRS. KIMBERLY PAIGE JOHNSON (AU.D., CCC-A) – Audiologist, NPI 1063630234

MRS. KIMBERLY PAIGE JOHNSON (AU.D., CCC-A) is a healthcare provider. based in Leesburg, Virginia. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D., CCC-A. They hold a License No. 2101001311 (VA). The NPI Number for MRS. KIMBERLY PAIGE JOHNSON (AU.D., CCC-A) is 1063630234

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY PAIGE JOHNSON (AU.D., CCC-A)
NPI
1063630234
Phone
(703) 858-5885
Address
44035 Riverside Pkwy
Enumeration Date
23 April 2007
Last Update Date
12 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7038589966
Graduation Year
1998 (28 years ago)
PAC ID
6103987573
Group Practice PAC ID
0042119661
Professional Enrollment ID
I20101216000468
Address ID
VA201768260LE44035PKWY305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

279 QUALIFIED AUDIOLOGIST in VA

Provider Addresses for MRS. KIMBERLY PAIGE JOHNSON (AU.D., CCC-A)

  • 44035 Riverside Pkwy

    Suite 450

    Leesburg, VA 201768260

    Phone: (703) 858-5885

    Fax: (703) 858-5001

    Type: Location

  • PO BOX 17334

    BALTIMORE, MD 212971334

    Phone: (703) 443-6717

    Fax: (703) 443-8643

    Type: Mailing

  • 44035 RIVERSIDE PKWY

    SUITE 450

    LEESBURG, VA 201768260

    Phone: (703) 858-5885

    Fax: (703) 858-5001

    Type: Location

  • 224-D CORNWALL STREET, NW, SUITE 403

    LEESBURG, VA 201762704

    Phone: (703) 737-6010

    Fax: (703) 443-8643

    Type: Mailing

  • 19490 SANDRIDGE WAY, SUITE 230

    LEESBURG, VA 201763467

    Phone: (703) 858-5885

    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: 2010-12-16

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
I20101216000468IQualified AudiologistVATBD

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
92550Test for eardrum and muscle function258253$0
92557Comprehensive hearing and speech recognition test218214$0
92552Test for hearing various pitches using earphone4949$0
92556Test for ability to detect and repeat spoken words with speech recognition4848$0
92653Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report2424$0
View full utilization report →

Insurance plans in this area (ZIP 20176)

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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: 0042119661View full group profile

Reviews

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Frequently asked questions

Is MRS. KIMBERLY PAIGE JOHNSON (AU.D., CCC-A) listed with a National Provider Identifier?
Yes — MRS. KIMBERLY PAIGE JOHNSON (AU.D., CCC-A) has NPI 1063630234 on file in the registry.
Would MRS. KIMBERLY PAIGE JOHNSON (AU.D., CCC-A) appear as active to a payer?
You can treat MRS. KIMBERLY PAIGE JOHNSON (AU.D., CCC-A) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MRS. KIMBERLY PAIGE JOHNSON (AU.D., CCC-A)?
MRS. KIMBERLY PAIGE JOHNSON (AU.D., CCC-A)'s record emphasizes Audiologist. Clinical services aligned with this taxonomy classification.
Where in Virginia is MRS. KIMBERLY PAIGE JOHNSON (AU.D., CCC-A) registered?
Use Leesburg, Virginia as the headline location for MRS. KIMBERLY PAIGE JOHNSON (AU.D., CCC-A) here.
When was this NPI issued?
Enumeration for MRS. KIMBERLY PAIGE JOHNSON (AU.D., CCC-A) is noted as April 23, 2007 where the registry provides it.

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