SARAH KIMBALL PNP
NPI 1164812145
Nurse Practitioner - Pediatrics in Waldorf, MD

Active since January 29, 2015PECOS EnrolledAccepts Medicare Assignment
3500 OLD WASHINGTON RD, SUITE 101, WALDORF, MD 20602(301) 645-1133(301) 645-2369 Get Directions Write a Review

NPPES record last updated: January 29, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sarah Kimball Pnp NPPES

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

SARAH KIMBALL PNP (NPI 1164812145) is an individual pediatrics provider in Waldorf, Maryland, licensed in Maryland (R203789) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164812145
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSARAH KIMBALLCredential: PNP
Location Address3500 OLD WASHINGTON RD, SUITE 101Waldorf, MD 20602-3224
Mailing Address3500 Old Washington Rd, Suite 101Waldorf, MD 20602-3224 · (301) 645-1133 · Fax (301) 645-2369
Fax(301) 645-2369
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 29, 2015
NPI 1164812145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MD · R203789
3500 OLD WASHINGTON RD, Waldorf, MD 20602

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

Sarah Kimball Pnp 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 ID9335422286
PECOS Enrollment IDI20170220001588
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Obstetrics & Gynecology
3500 OLD WASHINGTON RD, SUITE 302
WALDORF, MD 20602
Pediatrics
3500 OLD WASHINGTON RD, SUITE 101
WALDORF, MD 20602
Pediatrics
3500 OLD WASHINGTON RD, SUITE 101
WALDORF, MD 20602
Internal Medicine (Hematology & Oncology)
3500 OLD WASHINGTON RD, SUITE 102
WALDORF, MD 20602
Nurse Practitioner (Pediatrics)
3500 OLD WASHINGTON RD, SUITE 101
WALDORF, MD 20602
Dentist
3500 OLD WASHINGTON RD, SUITE 301
WALDORF, MD 20602
Internal Medicine (Hematology & Oncology)
3500 OLD WASHINGTON RD, SUITE 102
WALDORF, MD 20602
Internal Medicine (Rheumatology)
3500 OLD WASHINGTON RD, SUITE 202
WALDORF, MD 20602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164812145, enumerated as an "individual" on January 29, 2015.

The provider is located at 3500 OLD WASHINGTON RD SUITE 101 WALDORF, MD 20602 and the phone number is (301) 645-1133.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.