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

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: November 08, 2026.

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

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
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

Secondary Practice Location 1

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

Accepted Insurance

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

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

Medicare Billing Reassignments

5

Medicare enrollment records show Kimberley Boosales reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
2995 DREW ST FL 2
Clearwater, FL 33759
  • Reassigned Medicare billing, Florida enrollment
  • 2,009 clinicians in this Medicare group
Anesthesiology
201 14TH ST SW
Largo, FL 33770
  • Reassigned Medicare billing, Florida enrollment
  • 1,287 clinicians in this Medicare group
Anesthesiology
2020 59TH ST W
Bradenton, FL 34209
  • Reassigned Medicare billing, Florida enrollment
  • 792 clinicians in this Medicare group
Anesthesiology
851 TRAFALGAR CT, SUITE 200E
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 2,356 clinicians in this Medicare group
Anesthesiology
1305 WALT WHITMAN RD STE 300
Melville, NY 11747
  • Reassigned Medicare billing, Florida enrollment
  • 628 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.

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.

Family Medicine (Hospice and Palliative Medicine)
3231 MCMULLEN BOOTH RD
SAFETY HARBOR, FL 34695
Emergency Medicine
3231 MCMULLEN BOOTH RD
SAFETY HARBOR, FL 34695
Physician Assistant
3231 MCMULLEN BOOTH RD
SAFETY HARBOR, FL 34695
Nurse Practitioner
3231 MCMULLEN BOOTH RD
SAFETY HARBOR, FL 34695
Nurse Practitioner (Family)
3231 MCMULLEN BOOTH RD
SAFETY HARBOR, FL 34695
Physician Assistant
3231 MCMULLEN BOOTH RD
SAFETY HARBOR, FL 34695
Hospitalist
3231 MCMULLEN BOOTH RD
SAFETY HARBOR, FL 34695
Nurse Practitioner
3231 MCMULLEN BOOTH RD
SAFETY HARBOR, FL 34695

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 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.

Where is Kimberley Boosales located?

Kimberley Boosales practices at 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695. The listed phone number is (727) 725-6111.

What is Kimberley Boosales's specialty?

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

Is Kimberley Boosales enrolled in Medicare?

Yes. Kimberley Boosales 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 organizations bill Medicare for Kimberley Boosales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberley Boosales reassigns Medicare benefits to 5 organizations: Baycare Medical Group, Inc. (Clearwater, FL), Gulf-To-Bay Anesthesiology Associates LLC (Largo, FL), Sunshine State Anesthesia Partners LLC (Bradenton, FL), Us Anesthesia Partners Of Florida Inc. (Maitland, FL) and American Anesthesiology Services Of Florida, Inc. (Melville, NY). Each 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 Kimberley Boosales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberley Boosales accept?

Health plans from Oscar Health Maintenance Organization of Florida list Kimberley Boosales 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.

Is Kimberley Boosales affiliated with any hospitals?

According to CMS data, Kimberley Boosales is affiliated with St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Kimberley Boosales was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.