Kimberli Nekishia Johnson, M.D.
Individual provider Active NPI Internal Medicine Physician · Plano, TX
NPI 1992996680 · NPPES record last updated Sep 4, 2026
Key facts
- NPI
- 1992996680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- M2356 (TX)
- Practice address
- 5072 W Plano Pkwy
Plano, TX 75093-4476 - Phone
- (469) 671-0900
- Fax
- (972) 695-8827
- NPI assigned
- Aug 7, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Odette Louise Campbell, MD, PA
Practice addresses (Care Compare)
5072 W Plano Pkwy
Suite 220
Plano, TX 75093-4475
Phone (469) 671-0900
Hospital & facility affiliations
- Carmel Health Care Services PLLC
- Makavic Home Health LLC
- 1St Prudential Health Care Services, Inc.
- Jeftons Health Care Services Inc
- Medsource Health Care System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081107000315 | TX | Practitioner - Internal Medicine |
6507925344 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Odette Louise Campbell, MD, PA | Internal Medicine | Current | Accepting new patients |
| Health and Human Services Commission | Current | Accepting new patients | |
| Health and Human Services Commission | Current |
Accepting new patients | |
| Odette Louise Campbell MD PA | Internal Medicine | Current |
Accepting new patients |
| Health and Human Services Commission | Internal Medicine | Current |
Accepting new patients |
Locations
2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053
4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327
11640 US Highway 87 N
Carlsbad, TX 76934
Phone (325) 465-2312
540 Chapel Dr
Mexia, TX 76667
Phone (254) 562-1750
5072 W Plano Pkwy
Ste 220
Plano, TX 75093
Phone (469) 671-0900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | M2356 | TX | Yes |
Addresses
Primary practice location
5072 W Plano Pkwy
Plano, TX 75093-4476
Mailing address
5072 W Plano Pkwy
Plano, TX 75093-4476
Phone (469) 671-0900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121513902 | Medicaid | TX |
NPI Registry JSON
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1992996680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5072 W PLANO PKWY",
"city": "PLANO",
"state": "TX",
"postal_code": "750934476",
"telephone_number": "469-671-0900",
"fax_number": "972-695-8827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5072 W PLANO PKWY",
"city": "PLANO",
"state": "TX",
"postal_code": "750934476",
"telephone_number": "469-671-0900",
"fax_number": "972-695-8827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KIMBERLI",
"middle_name": "NEKISHIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "M2356",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121513902",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
- Karrie Johnson
- Kathy Johnson
- Kenneth R Johnson Jr.
- Kenya K Johnson
- Kierra Johnson
- Kyle Douglas Johnson
- Lindsay Michelle Johnson
- Lisa Johnson
- Mackalah Johnson
- Marshall Verner Johnson
All providers in Plano, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.