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KIMBERLY JOY WAACK PA-C
NPI 1023214566
Physician Assistant in Albuquerque, NM

Active since June 22, 2007PECOS EnrolledAccepts Medicare Assignment
1901 JUAN TABO BLVD NE STE B, ALBUQUERQUE, NM 87112(505) 281-5180(505) 702-8171 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2026, Aug 4, 2024, Apr 15, 2024 and 3 more (6 updates tracked since 2021).

About Kimberly Joy Waack Pa-c NPPES

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

KIMBERLY JOY WAACK PA-C (NPI 1023214566) is an individual physician assistant in Albuquerque, New Mexico, licensed in New Mexico (PA2026-0045) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1023214566
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY JOY WAACKCredential: PA-C
Location Address1901 JUAN TABO BLVD NE STE BAlbuquerque, NM 87112-3303
Mailing AddressPo Box 602195Charlotte, NC 28260-2195 · (877) 498-4490 · Fax (919) 350-7687
Phone(505) 281-5180
Fax(505) 702-8171
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 22, 2007
Last NPPES UpdateMay 26, 20266 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1023214566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NM · PA2026-0045✔ Licensed in NC · 0010-00955
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.
1901 JUAN TABO BLVD NE STE B, Albuquerque, NM 87112
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Other Names 1

Former Name (1)Kimberly Joy Hardwick

Secondary Practice Location 1

Location 12216 E Nc Highway 54Durham, NC 27713-2208 · Phone (919) 350-0365 · Fax (919) 235-1307

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Joy Waack Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638255227
PECOS Enrollment IDI20080324000275
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87112 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 Kimberly Waack's NPI number?

The NPI number for Kimberly Waack is 1023214566. It was assigned to this individual provider in the NPPES registry on June 22, 2007. The provider is also known as Kimberly Joy Hardwick.

Where is Kimberly Waack located?

Kimberly Waack practices at 1901 Juan Tabo Blvd NE Ste B, Albuquerque, NM 87112. The listed phone number is (505) 281-5180.

What is Kimberly Waack's specialty?

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

Is Kimberly Waack enrolled in Medicare?

Yes. Kimberly Waack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimberly Waack accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kimberly Waack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kimberly Waack affiliated with any hospitals?

According to CMS data, Kimberly Waack is affiliated with Wakemed, Raleigh Campus.

When was this NPI record last updated?

The NPPES record for Kimberly Waack was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.