KIMBERLY S TRENT PA
NPI 1053484535
Physician Assistant - Surgical in Syracuse, NY

Active since November 15, 2006PECOS EnrolledAccepts Medicare Assignment
301 PROSPECT AVE, SYRACUSE, NY 13203(315) 448-5111(315) 703-5079 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly S Trent Pa NPPES

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

KIMBERLY S TRENT PA (NPI 1053484535) is an individual surgical provider in Syracuse, New York, licensed in New York (008402) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1053484535
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKIMBERLY S TRENTCredential: PA
Location Address301 PROSPECT AVESyracuse, NY 13203-1807
Mailing Address104 Union Ave, Suite 804Syracuse, NY 13203-1843 · (315) 703-5049 · Fax (315) 703-5079
Fax(315) 703-5079
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 15, 2006
Last NPPES UpdateAugust 23, 2021
NPPES CertifiedAugust 23, 2021
NPI 1053484535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 008402
301 PROSPECT AVE, Syracuse, NY 13203

Other Names 1

Former Name (1)Kimberly A Santas Pa

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 S Trent Pa 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 ID446444095
PECOS Enrollment IDI20101028000261
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.

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
301 PROSPECT AVE
SYRACUSE, NY 13203
Nurse Anesthetist, Certified Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Dietitian, Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Anesthesiology
301 PROSPECT AVE, DEPT OF ANESTHESIA
SYRACUSE, NY 13203
Anesthesiology
301 PROSPECT AVE, DEPARTMENT OF ANESTHESIA
SYRACUSE, NY 13203
Emergency Medicine
301 PROSPECT AVE
SYRACUSE, NY 13203
Licensed Practical Nurse
301 PROSPECT AVE, ST. JOSEPH'S HOSPITAL
SYRACUSE, NY 13203
Student in an Organized Health Care Education/Training Program
301 PROSPECT AVE
SYRACUSE, NY 13203

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 Trent's NPI number?

The NPI number for Kimberly Trent is 1053484535. It was assigned to this individual provider in the NPPES registry on November 15, 2006. The provider is also known as Kimberly A Santas PA.

Where is Kimberly Trent located?

Kimberly Trent practices at 301 Prospect Ave, Syracuse, NY 13203. The listed phone number is (315) 448-5111.

What is Kimberly Trent's specialty?

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

Is Kimberly Trent enrolled in Medicare?

Yes. Kimberly Trent 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 Trent affiliated with any hospitals?

According to CMS data, Kimberly Trent is affiliated with St Joseph's Hospital Health Center.

When was this NPI record last updated?

The NPPES record for Kimberly Trent was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.