Kimberly Brooke Delandtsheer

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95024727 Issued in CA

Practice address

42002 Fox Farm Rd
Big Bear Lake, CA 92315-2190

Phone

(909) 878-8000

NPI assigned

Jun 2, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vvipa Medical Group IncGroup PAC ID 5092185546, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bear Valley Community Hospital Hospital, Big Bear Lake, CA, CCN 051335

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kimberly.delandsheer.p2@direct.hvvmg.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vvipa Medical Group Inc

  • Clinic/Center
  • Victorville, CA
  • NPI 1295126001
  Medicare reassignment Care Compare group NPD
• High Desert Medical Group

  • Multi-Specialty Clinic/Center
  • Lancaster, CA
  • NPI 1720196702
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bear Valley Community Health Care District

  • Long Term Care Pharmacy
  • Big Bear Lake, CA
  • NPI 1073553756

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1124711247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6918",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923156918",
            "telephone_number": "909-878-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42002 FOX FARM RD",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923152190",
            "telephone_number": "909-878-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANDTSHEER",
        "first_name": "KIMBERLY",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William B Crumpler
• Daniel Adam Curtis, PA-C
• David Horner PC
• Jamie Davidson, DNP
• Brett Davis, P.A.
• Benjamin Warren Delanty, MSW
• Fredy Jesus Diaz
• Dawn Dopps
• Dr James W Almaraz O D Inc
• Dr. Eric a. Saidi, O.D., Inc.

• Family Nurse Practitioner in Big Bear Lake, CA
• Providers in Big Bear Lake, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.