Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Kimberly Fauke Kakooza, APRN

Individual provider Nurse Practitioner · NPI 1891268991

Kimberly Fauke Kakooza, APRN is a Nurse Practitioner in Flagstaff, Arizona. Qualified in 2018, 8 years ago. Practices with Nextcare Arizona I Jv LLC, a 301-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arizona and Illinois.

Years since qualifying
8
Licensed in
AZ, IL
In the registry since
2019
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

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Practice location Address checks out

1000 N Humphreys St Ste 104
Flagstaff, AZ 86001-3124
Phone: (928) 779-3844
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 12850 S Ashland Ave, Calumet Park, IL 60827-6308 — (708) 972-7958
  • 1770 E Lake Shore Dr Lowr Ll1, Decatur, IL 62521-3832 — (217) 464-1340
  • 1804 N Naper Blvd, Naperville, IL 60563-8830 — (630) 527-3645

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 337491 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence 277002831 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209.018538 (IL)

Record details

NPI number1891268991
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedJanuary 10, 2019
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Nextcare Arizona I Jv Llc — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients58
Services billed 139 a service is one billed item, such as a visit, a test or a procedure
Average patient age69

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Nextcare Arizona I Jv LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 301 clinicians in the practice; 12 are shown here.

Other providers in Flagstaff