KIMBERLEY JEAN BOOSALES C-AA
NPI 1205257136
Anesthesiologist Assistant in Safety Harbor, FL

Q: What is Kimberley Boosales's NPI number?

The NPI number for Kimberley Boosales is 1205257136. It was assigned to this individual provider in the NPPES registry on December 19, 2013.

Q: What is Kimberley Boosales's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Active since December 19, 2013Accepts Medicare Assignment

3231 MCMULLEN BOOTH RD, SAFETY HARBOR, FL 34695(727) 725-6111 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2021, Aug 6, 2018 (2 updates tracked since 2018).

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About Kimberley Jean Boosales C-aa NPPES

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

KIMBERLEY JEAN BOOSALES C-AA (NPI 1205257136) is an individual anesthesiologist assistant in Safety Harbor, Florida, licensed in Florida (AA211) and active in the NPI registry since December 2013. She is affiliated with St Josephs Hospital, maintains a secondary practice location in Gainesville, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1205257136

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameKIMBERLEY JEAN BOOSALESCredential: C-AA

Location Address3231 MCMULLEN BOOTH RDSafety Harbor, FL 34695

Mailing AddressPo Box 100254Gainesville, FL 32610-0254 · (352) 273-8610

Phone(727) 725-6111

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateDecember 19, 2013

Last NPPES UpdateFebruary 22, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2021

✔ NPI 1205257136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in FL · AA211

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

3231 MCMULLEN BOOTH RD, Safety Harbor, FL 34695

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Secondary Practice Location 1

Location 11600 SW Archer RdGainesville, FL 32610-3003 · Phone (352) 273-8610

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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

Kimberley Jean Boosales C-aa 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 ID7315179793

PECOS Enrollment IDI20140417001160

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

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.

DR. ALANNA LAURA KAPLAN D.O.

Family Medicine (Hospice and Palliative Medicine)