KIMBERLY SHIRK PA-C
NPI 1164683926
Physician Assistant - Medical in Columbia, SC
About Kimberly Shirk Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY SHIRK PA-C (NPI 1164683926) is an individual medical provider in Columbia, South Carolina, licensed in South Carolina (2504) and active in the NPI registry since June 2008. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in Poughkeepsie.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kimberly Shirk Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.
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.
COLUMBIA, SC 29210
COLUMBIA, SC 29210
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 Shirk's NPI number?
The NPI number for Kimberly Shirk is 1164683926. It was assigned to this individual provider in the NPPES registry on June 24, 2008.
Where is Kimberly Shirk located?
Kimberly Shirk practices at 612 Saint Andrews Rd Ste 2, Columbia, SC 29210. The listed phone number is (803) 386-8684.
What is Kimberly Shirk's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Kimberly Shirk enrolled in Medicare?
No. Kimberly Shirk has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Kimberly Shirk accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and UnitedHealthcare list Kimberly Shirk 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 Kimberly Shirk was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kimberly Shirk, PA-C · NPI 1164683926
Medical physician in Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since June 24, 2008.
## Identity
- **NPI:** 1164683926 (Entity type: Individual)
- **Enumerated:** June 24, 2008
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 2504 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 612 SAINT ANDREWS RD STE 2, Columbia, SC 29210-5120
- **Phone:** (803) 386-8684 · **Fax:** (844) 436-4944
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1164683926) · Data from the CMS NPPES public registry.