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: November 01, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Sarah Kimball reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
111 MICHIGAN AVE NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,417 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Internal Medicine (Rheumatology)
3500 OLD WASHINGTON RD, SUITE 202
WALDORF, MD 20602
Pediatrics
3500 OLD WASHINGTON RD, SUITE 101
WALDORF, MD 20602
Dentist (General Practice)
3500 OLD WASHINGTON RD, #204
WALDORF, MD 20602
Internal Medicine (Hematology & Oncology)
3500 OLD WASHINGTON RD, STE 102
WALDORF, MD 20602
Internal Medicine (Hematology & Oncology)
3500 OLD WASHINGTON RD, SUITE 102
WALDORF, MD 20602
Pediatrics
3500 OLD WASHINGTON RD, SUITE 101
WALDORF, MD 20602
Clinic/Center (Ambulatory Surgical)
3500 OLD WASHINGTON RD, SUITE 302
WALDORF, MD 20602
General Practice
3500 OLD WASHINGTON RD
WALDORF, MD 20602

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 Sarah Kimball's NPI number?

The NPI number for Sarah Kimball is 1164812145. It was assigned to this individual provider in the NPPES registry on January 29, 2015.

Where is Sarah Kimball located?

Sarah Kimball practices at 3500 Old Washington Rd Suite 101, Waldorf, MD 20602. The listed phone number is (301) 645-1133.

What is Sarah Kimball's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Sarah Kimball enrolled in Medicare?

Yes. Sarah 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.

Which organization bills Medicare for Sarah Kimball's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Kimball reassigns Medicare benefits to Children's Hospital (Washington, DC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Kimball's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sarah Kimball was last updated on January 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.