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KRISTEN LEIGH KLIMM PA-C
NPI 1164113791
Physician Assistant - Surgical in Providence, RI

Active since May 16, 2023PECOS Enrolled
2 DUDLEY ST STE 190, PROVIDENCE, RI 02905(401) 421-1939 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kristen Leigh Klimm Pa-c NPPES

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

KRISTEN LEIGH KLIMM PA-C (NPI 1164113791) is an individual surgical provider in Providence, Rhode Island, licensed in Rhode Island (PA01588) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164113791
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKRISTEN LEIGH KLIMMCredential: PA-C
Location Address2 DUDLEY ST STE 190Providence, RI 02905-3248
Mailing Address43 Soley St Apt 2Charlestown, MA 02129-3310 · (774) 487-2493
Phone(401) 421-1939
Sole ProprietorNo
Enumeration DateMay 16, 2023
NPPES CertifiedMay 16, 2023
✔ NPI 1164113791 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 RI · PA01588
2 DUDLEY ST STE 190, Providence, RI 02905
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Leigh Klimm Pa-c 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 9

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

KELSEY VAN HOUSEN PA-C
Physician Assistant
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 421-1939
CARL-CHRISTIAN ANDREW JACKSON MD
Surgery (Pediatric Surgery)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 228-0623
ARTUR CHERNOGUZ MD
Surgery (Pediatric Surgery)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 228-0576
JOSHUA NATHANAEL HONEYMAN M.D.
Surgery (Pediatric Surgery)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 228-0576
DR. JULIE MONTEAGUDO M.D.
Surgery (Pediatric Surgery)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 228-0580
MAKAYLA LOURENCO NP
Nurse Practitioner (Pediatrics)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 421-1939
DR. SAMANTHA LYNN AHLE M.D.
Surgery (Pediatric Surgery)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 421-1939
DR. PETER KIM MD
Surgery (Pediatric Surgery)
2 DUDLEY ST STE 190
PROVIDENCE, RI 02905
Providence County (401) 553-8341

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 Kristen Klimm's NPI number?

The NPI number for Kristen Klimm is 1164113791. It was assigned to this individual provider in the NPPES registry on May 16, 2023.

Where is Kristen Klimm located?

Kristen Klimm practices at 2 Dudley St Ste 190, Providence, RI 02905. The listed phone number is (401) 421-1939.

What is Kristen Klimm's specialty?

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

Is Kristen Klimm enrolled in Medicare?

Yes. Kristen Klimm is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristen Klimm was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.