Mrs Crystal Noel Kimball, FNP, RN in Ukiah, CA

Mrs Crystal Noel Kimball, FNP, RN is a medicare enrolled "Nurse Practitioner - Primary Care" in Ukiah, California. Her current practice location is 1050 N State St, Ukiah, California. You can reach out to her office (for appointments etc.) via phone at (707) 662-3111.

Mrs Crystal Noel Kimball is licensed to practice in California (license number 95024333) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316646797.

Contact Information

	Mrs Crystal Noel Kimball, FNP, RN
	1050 N State St, Ukiah, CA 95482-3414
	(707) 662-3111
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Crystal Noel Kimball
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	1050 N State St, Ukiah, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316646797
Provider Enumeration Date: 02/24/2023
Last Update Date: 02/24/2023

Medicare PECOS Information:

PECOS PAC ID: 2769847235
Enrollment ID: I20230505001182

Medical Identifiers

Medical identifiers for Mrs Crystal Noel Kimball such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316646797	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	95024333 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Crystal Noel Kimball allows following entities to bill medicare on her behalf.

Entity Name	Adventist Health Physicians Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Crystal Noel Kimball is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Crystal Noel Kimball, FNP, RN 880 Sanel Dr, Ukiah, CA 95482-9604 Ph: (530) 601-0314	Mrs Crystal Noel Kimball, FNP, RN 1050 N State St, Ukiah, CA 95482-3414 Ph: (707) 662-3111

Reviews and Comments

Nurse Practitioner Nurses in Ukiah, CA

Mrs. Frances Ann Laughton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Hospital Dr Ste 209, Ukiah, CA 95482 Phone: 707-463-8000 Fax: 707-462-1111
Mrs. Jennifer Lyn Graff, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 275 Hospital Drive, Ukiah, CA 95482 Phone: 707-462-7900 Fax: 707-537-2119
Liliane Robison, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Laws Ave, Ukiah, CA 95482 Phone: 707-468-1010
Judith Werner Lemke, RN, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 957 Fairway Ave, Ukiah, CA 95482 Phone: 707-468-7414
Xiaojie Wu, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Hospital Dr Ste 207, Ukiah, CA 95482 Phone: 707-463-7627
Gladys Ruiz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 S Dora St, Ukiah, CA 95482 Phone: 707-621-1247
Julie Miner, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-2400

Mrs Crystal Noel Kimball, FNP, RN - Medicare Nurse Practitioner in Ukiah, CA