Kim Susan Walker, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95026513 Issued in CA

Practice address

27397 North Bay Road
Lake Arrowhead, CA 92352-0925

Phone

(909) 744-7591

NPI assigned

Aug 22, 2023

Last updated

Aug 22, 2023By the provider in NPPES

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optima Health CorpGroup PAC ID 3779911466, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountains Community Hospital Hospital, Lake Arrowhead, CA, CCN 051312

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GEGFAD

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

• Optima Health Corp

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1245892066
  Medicare reassignment Care Compare group NPD
• Seven Star Hospital Associates Inc.

  dba Seven Star Radiology

  • Diagnostic Radiology Physician
  • Hemet, CA
  • NPI 1043813140
  Medicare reassignment NPD
• Symbiosis, Inc.

  • Urgent Care Clinic/Center
  • Corona, CA
  • NPI 1255993176
  Medicare reassignment NPD
• Walter D Bramson MD a Professional Corporation

  • Clinic/Center
  • Crestline, CA
  • NPI 1700216488
  NPD (past)

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

• San Bernardino Mountains Community Hospital District

  dba Mountains Community Hospital

  • Critical Access Hospital
  • Lake Arrowhead, CA
  • NPI 1245380799
  Care Compare affiliation

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1598549578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 925",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "923520925",
            "telephone_number": "909-744-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27397 NORTH BAY ROAD",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "923520925",
            "telephone_number": "909-744-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KIM",
        "middle_name": "SUSAN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Miyuki Shimada
• Paula Sheryl Smith
• Ara Tobar, RDH
• Vna Hospice and Palliative Care of Southern California (Rim of the World Home Health, Inc.)
• W Maier Inc
• Lawrence R. Walker, MD
• Chelsea Michelle Walsh, M.A., LMFT
• Linda E West-Conforti, RN
• Western Sierra Emergency Physicians Medical Group Inc
• Elizabeth Kathleen White, PH.D., ABPP

• Family Nurse Practitioner in Lake Arrowhead, CA
• Providers in Lake Arrowhead, 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 Aug 22, 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.