NICOLE KIMBALL PA-C, CAQ-OBGYN
NPI 1083257786
Physician Assistant in Ukiah, CA
About Nicole Kimball Pa-c, Caq-obgyn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE KIMBALL PA-C, CAQ-OBGYN (NPI 1083257786) is an individual physician assistant in Ukiah, California, licensed in California (PA59084) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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
Nicole Kimball Pa-c, Caq-obgyn 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95482 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
UKIAH, CA 95482
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 Nicole Kimball's NPI number?
The NPI number for Nicole Kimball is 1083257786. It was assigned to this individual provider in the NPPES registry on October 25, 2019.
Where is Nicole Kimball located?
Nicole Kimball practices at 242 Hospital Dr Ste A, Ukiah, CA 95482. The listed phone number is (707) 462-4303.
What is Nicole Kimball's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Nicole Kimball enrolled in Medicare?
Yes. Nicole Kimball 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 Nicole Kimball accept?
Health plans from Anthem Blue Cross and Blue Shield list Nicole Kimball 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.
When was this NPI record last updated?
The NPPES record for Nicole Kimball was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.
# Nicole Kimball, PA-C, CAQ-OBGYN · NPI 1083257786
Physician Assistant physician in Ukiah, California. Individual provider, active in the CMS NPPES registry since October 25, 2019.
## Identity
- **NPI:** 1083257786 (Entity type: Individual)
- **Enumerated:** October 25, 2019
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA59084 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 242 HOSPITAL DR STE A, Ukiah, CA 95482-4556
- **Phone:** (707) 462-4303
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 28, 2026
- **Other identifiers:** Medicaid 6714044 (VT); Other 055.0031689 (VT)
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Source: [NPI Profile](https://npiprofile.com/npi/1083257786) · Data from the CMS NPPES public registry.