KIMBERLY A KIGHT JOHANSEN (CNM) – Advanced Practice Midwife, NPI 1104890698
Advanced Practice Midwife
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KIMBERLY A KIGHT JOHANSEN (CNM)
1440 Pleasant St
Suite 1
Des Moines, IA 503141728
Phone: (515) 309-6011
Fax: (515) 309-6014
Type: Location
PO BOX 50095
SEATTLE, WA 981455095
Phone:
Type: Mailing
1959 NE PACIFIC ST.
SEATTLE, WA 981950001
Phone: (206) 520-5000
Type: Location
Pleasant Street Center, 1440, Pleasant Street, Sherman Hill, Des Moines, Polk County, Iowa, 50309, United States
SUITE 1
DES MOINES, IA 503141728
Phone: (515) 309-6011
Fax: (515) 309-6014
Type: Mailing
Empowered Pregnancy, 13114, 120th Avenue Northeast, Kirkland, King County, Washington, 98034, United States
KIRKLAND, WA 980343014
Phone: (425) 549-3444
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: 2023-12-06
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 |
|---|---|---|---|---|
| I20231206001586 | I | Certified Nurse Midwife (Cnm) | SC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 50314)
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