KATHRYN MARI LIN KINCEL PAC
NPI 1053374074
Physician Assistant - Medical in Fall River Mills, CA

Active since April 10, 2006PECOS Enrolled
43658 STATE HIGHWAY 299 E, FALL RIVER MILLS, CA 96028(530) 999-9020 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, Nov 5, 2018 (2 updates tracked since 2018).

About Kathryn Mari Lin Kincel Pac NPPES

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

KATHRYN MARI LIN KINCEL PAC (NPI 1053374074) is an individual medical provider in Fall River Mills, California, licensed in California (15892) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053374074
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATHRYN MARI LIN KINCELCredential: PAC
Location Address43658 STATE HIGHWAY 299 EFall River Mills, CA 96028-9819
Mailing Address621 E Foster AveCoeur D Alene, ID 83814-3048 · (208) 967-2597
Sole ProprietorYes
Enumeration DateApril 10, 2006
Last NPPES UpdateSeptember 16, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
NPI 1053374074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in CA · 15892 Licensed in WA · PA10004548
43658 STATE HIGHWAY 299 E, Fall River Mills, CA 96028

Secondary Practice Locations 2

Location 1400 E 5th AveSpokane, WA 99202-1334 · Phone (509) 838-2531
Location 2821 Texas AveLos Banos, CA 93635-3453 · Phone (209) 826-1045

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathryn Mari Lin Kincel Pac 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.

Other Providers at the Same Location NPPES 3

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

Family Medicine
43658 STATE HIGHWAY 299 E
FALL RIVER MILLS, CA 96028
Clinic/Center (Federally Qualified Health Center (FQHC))
43658 STATE HIGHWAY 299 E
FALL RIVER MILLS, CA 96028
Physician Assistant
43658 STATE HIGHWAY 299 E
FALL RIVER MILLS, CA 96028

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 Kathryn Kincel's NPI number?

The NPI number for Kathryn Kincel is 1053374074. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Kathryn Kincel located?

Kathryn Kincel practices at 43658 State Highway 299 E, Fall River Mills, CA 96028. The listed phone number is (530) 999-9020.

What is Kathryn Kincel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kathryn Kincel enrolled in Medicare?

Yes. Kathryn Kincel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathryn Kincel was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.