KIMBERLY THERESA CAUDELL PA-C
NPI 1053275081
Physician Assistant - Surgical in St Petersburg, FL

Active since December 13, 2025PECOS EnrolledAccepts Medicare Assignment
725 6TH AVE S STE 3200, ST PETERSBURG, FL 33701(727) 553-7431(727) 553-7432 Get Directions Write a Review

NPPES record last updated: April 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2026, Mar 26, 2026, Dec 13, 2025 (3 updates tracked since 2025).

About Kimberly Theresa Caudell Pa-c NPPES

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

KIMBERLY THERESA CAUDELL PA-C (NPI 1053275081) is an individual surgical provider in St Petersburg, Florida, licensed in Florida (PA9121402) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS, is affiliated with Orlando Health Bayfront Hospital, and maintains a secondary practice location in St Petersburg.

NPPES Registry Identity

NPI1053275081
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKIMBERLY THERESA CAUDELLCredential: PA-C
Location Address725 6TH AVE S STE 3200St Petersburg, FL 33701-4877
Mailing Address725 6th Ave S Ste 3200St Petersburg, FL 33701-4877 · (727) 502-6572
Fax(727) 553-7432
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 13, 2025
Last NPPES UpdateApril 18, 20263 updates tracked since enumeration
NPPES CertifiedApril 18, 2026
NPI 1053275081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA9121402
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9121402 (FL)
725 6TH AVE S STE 3200, St Petersburg, FL 33701

Secondary Practice Location 1

Location 1701 6th St SSt Petersburg, FL 33701-4814 · Phone (727) 823-1234

Other Identifiers 1

Medicaid1053275081FL

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 Theresa Caudell 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 ID7416439088
PECOS Enrollment IDI20260303003438
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.

Orlando Health Bayfront Hospital

Acute Care Hospitals · Saint Petersburg, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100032
Location701 6th St SSaint Petersburg, FL 33701 · Pinellas County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
725 6TH AVE S STE 3200
ST PETERSBURG, FL 33701
Nurse Practitioner (Adult Health)
725 6TH AVE S STE 3200
ST PETERSBURG, FL 33701

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 Caudell's NPI number?

The NPI number for Kimberly Caudell is 1053275081. It was assigned to this individual provider in the NPPES registry on December 13, 2025.

Where is Kimberly Caudell located?

Kimberly Caudell practices at 725 6th Ave S Ste 3200, St Petersburg, FL 33701. The listed phone number is (727) 553-7431.

What is Kimberly Caudell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kimberly Caudell enrolled in Medicare?

Yes. Kimberly Caudell 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.

Is Kimberly Caudell affiliated with any hospitals?

According to CMS data, Kimberly Caudell is affiliated with Orlando Health Bayfront Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Caudell was last updated on April 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.