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NPI · 1689009201 · NPPES-sourced

Peter Kimball PA-C

ActivePhysician Assistant
NPI Number
1689009201
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(904) 642-0337
License FL · PA9112110
Last Updated
About 5 years ago (Oct 2020)
Enumerated 2013-09-13
Primary practice addressFL · 32225-2520
2401 Monument RdJacksonville, FL 32225-2520
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About this NPIWhat this record shows.

NPI 1689009201 is registered to Peter Kimball PA-C, a Physician Assistant practising at 2401 Monument Rd in Jacksonville, Florida. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Peter Kimball PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2013.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2013-09-13
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Peter Kimball PA-C accepts. To confirm in-network status with your specific health plan, contact Peter Kimball PA-C directly at (904) 642-0337.

Frequently asked

Yes. NPI 1689009201 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (904) 642-0337.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Peter Kimball PA-C is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated2020-10
Enumerated2013-09-13
StatusActive
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