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KIMBERLEY B. OLDEWAGE PA-C
NPI 1003183187
Physician Assistant in Rio Rancho, NM

Active since November 17, 2011PECOS Enrolled
1350 JACKIE ROAD STE 101, WESTSIDE FAMILY MEDICINE, RIO RANCHO, NM 87124(505) 892-7518(505) 892-9092 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberley B. Oldewage Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLEY B. OLDEWAGE PA-C (NPI 1003183187) is an individual physician assistant in Rio Rancho, New Mexico, licensed in New Mexico (PA2011-0041) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003183187
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLEY B. OLDEWAGECredential: PA-C
Location Address1350 JACKIE ROAD STE 101, WESTSIDE FAMILY MEDICINERio Rancho, NM 87124-1519
Mailing Address1350 Jackie Road Ste 101, Westside Family MedicineRio Rancho, NM 87124-1519 · (505) 892-7518 · Fax (505) 892-9092
Phone(505) 892-7518
Fax(505) 892-9092
Sole ProprietorNo
Enumeration DateNovember 17, 2011
✔ NPI 1003183187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NM · PA2011-0041
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1350 JACKIE ROAD STE 101, Rio Rancho, NM 87124
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberley B. Oldewage Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberley Oldewage's NPI number?

The NPI number for Kimberley Oldewage is 1003183187. It was assigned to this individual provider in the NPPES registry on November 17, 2011.

Where is Kimberley Oldewage located?

Kimberley Oldewage practices at 1350 Jackie Road Ste 101 Westside Family Medicine, Rio Rancho, NM 87124. The listed phone number is (505) 892-7518.

What is Kimberley Oldewage's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberley Oldewage enrolled in Medicare?

Yes. Kimberley Oldewage is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberley Oldewage was last updated on November 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.