NPI registry status
Active
2026 NPPES data Community Health Worker NPI 1316486541 PMHNP-BC
Verify on CMS → Kimberly Dow, PMHNP-BC
Community Health Worker in Burlingame, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 46,467 in Community Health Worker, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
77
Medicare Part D claims · 17 beneficiaries · Community Health Worker avg: 1K
Industry payments
$548.23
22 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Kimberly Dow, PMHNP-BC filed 77 Medicare Part D claims in 2023 as a Community Health Worker in Burlingame, California.
- 77
- Part D claims, 2023
- $548.23
- industry payments (Sunshine Act)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Kimberly Dow, PMHNP-BC's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
77 0th percentile higher than 0% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Kimberly Dow, PMHNP-BC?
Quality data not reportedPrimary specialty
Community Health Worker
Medicare Part D claims
77 94% vs specialty avg
Specialty distribution in California
How Community Health Worker compares to other specialties among California providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Community Health Worker. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Kimberly Dow, PMHNP-BC appears in the CMS NPPES registry as a Community Health Worker provider holding PMHNP-BC credentials at 1860 EL CAMINO REAL STE 250, Burlingame, CA, 94010, with a listed phone of (844) 867-8444. NPI 1316486541 was issued on 02/21/2017.
Medicare Part D records for calendar year 2023 show 77 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $13K in drug spend.
Community Health Worker is a mid-sized specialty nationwide, with 46,467 enrolled providers across 53 states and an average of 1,291 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1316486541 |
|---|---|
| Specialty | Community Health Worker |
| Credentials | PMHNP-BC |
| Gender | Female |
| NPI Issued | 02/21/2017 |
Hospital and facility affiliations
Facilities where Kimberly Dow, PMHNP-BC bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Mindful Health Solutions A Professional Medical Corporation
Burlingame, CA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Kimberly Dow, PMHNP-BC. Source: openpaymentsdata.cms.gov.
Total received
$548
Largest payer
Lundbeck LLC
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - California MBC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to Kimberly Dow, PMHNP-BC. To verify Kimberly Dow, PMHNP-BC's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
77
Total Claims
$13K
Total Drug Cost
17
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 100
- Total Day Supply
- 2,717
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 69.5 years
- Avg HCC Risk Score
- 0.92
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Clonazepam | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Community Health Worker Overview
How Kimberly Dow, PMHNP-BC fits within the Community Health Worker landscape nationally.
46,467
Community Health Worker Providers in US
53
States with Community Health Worker
1,291
Avg Claims per Provider
Kimberly Dow, PMHNP-BC's 77 claims are below the specialty average of 1,291.
Nearby Community Health Worker Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Dow.
Tarchell Aaron
Oakland, CA
Elizabeth Abarca
San Mateo, CA
Melissa Abarca
Anaheim, CA
Mayra Abarca Moreno
Carson, CA
Robert Abate
San Francisco, CA
Compare Community Health Worker nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the California medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Community Health Worker peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
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How insurance networks affect your costs
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Frequently Asked Questions
What is Kimberly Dow, PMHNP-BC's specialty? ▼
Kimberly Dow, PMHNP-BC specializes in Community Health Worker and practices in Burlingame, California. Credentials: PMHNP-BC.
How much does Kimberly Dow, PMHNP-BC prescribe under Medicare Part D? ▼
In 2023, Kimberly Dow, PMHNP-BC wrote 77 Medicare Part D claims totaling $13K in drug costs for 17 beneficiaries.
Where is Kimberly Dow, PMHNP-BC located? ▼
Kimberly Dow, PMHNP-BC is located at 1860 EL CAMINO REAL STE 250, Burlingame, CA, 94010. Phone: (844) 867-8444.
What is Kimberly Dow, PMHNP-BC's NPI number? ▼
Kimberly Dow, PMHNP-BC's National Provider Identifier (NPI) is 1316486541, issued on 02/21/2017.
How many Community Health Worker providers are there in the US? ▼
There are 46,467 Community Health Worker providers across 53 states in the US. The average Community Health Worker provider writes 1,291 Medicare Part D claims per year.
What drugs does Kimberly Dow, PMHNP-BC prescribe most often? ▼
Based on 2023 Medicare Part D data, Kimberly Dow, PMHNP-BC's most frequently prescribed drugs include Clonazepam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kimberly Dow, PMHNP-BC accept Medicare? ▼
Kimberly Dow, PMHNP-BC appears in CMS Medicare data with 77 Part D claims and 17 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kimberly Dow, PMHNP-BC's credentials? ▼
Kimberly Dow, PMHNP-BC's NPI is 1316486541 with credentials PMHNP-BC. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.