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

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.

Hospital & facility affiliations 5

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

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 (14 clinicians)

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 Home health agency · Mesquite, TX · CCN 677949
  • Makavic Home Health LLC Home health agency · Grand Prairie, TX · CCN 679723
  • 1St Prudential Health Care Services, Inc. Home health agency · Arlington, TX · CCN 679358
  • Jeftons Health Care Services Inc Home health agency · Garland, TX · CCN 747642
  • Medsource Health Care System Home health agency · Dallas, TX · CCN 679551

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 IDStateProvider typePAC IDDetails
I20081107000315 TX Practitioner - Internal Medicine
Practitioner - General Practice
6507925344 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew 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
since Nov 26, 2018
Accepting new patients
Odette Louise Campbell MD PA Internal Medicine Current
since Aug 5, 2025
Accepting new patients
Health and Human Services Commission Internal Medicine Current
since Nov 26, 2018
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
121513902MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 4, 2026.

{
    "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

All providers in Plano, TX · Internal Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.