BEVERLY A. KIMBALL PA-C
NPI 1245293463
Physician Assistant in Rice Lake, WI

Active since April 10, 2006
1700 W STOUT ST, RICE LAKE, WI 54868(715) 236-8100 Get Directions Write a Review

NPPES record last updated: July 7, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Physician Assistant

About BEVERLY KIMBALL

This page provides the complete NPI Profile along with additional information for Beverly Kimball, a primary care provider established in Rice Lake, Wisconsin with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1245293463 assigned on April 2006. The practitioner's primary taxonomy code is 363A00000X with license number 225-023 (WI). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1245293463 Verify this NPI
Provider Name
BEVERLY A. KIMBALL PA-C
Other Name
BEVERLY ANN FRYE-FREEMAN PA-C
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1700 W STOUT ST RICE LAKE, WI 54868
Location Phone
(715) 236-8100
Mailing Address
1000 N OAK AVE MARSHFIELD, WI 54449
Mailing Phone
(715) 387-5511
Is Sole Proprietor?
No
Enumeration Date
04-10-2006
Last Update Date
07-07-2010
Code Navigator

A primary care provider (PCP) like Beverly Kimball sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
225-023
License State
WI
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

8905 (MN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
S57066MEDICARE UPIN (02) 
843159100MEDICAID (05)MN 
970000456MEDICARE ID-TYPE UNSPECIFIED (04) 
41935200MEDICAID (05)WI 

Reviews for BEVERLY A. KIMBALL PA-C

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
1700 W STOUT ST
RICE LAKE, WI 54868
Emergency Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Orthopaedic Surgery
1700 W STOUT ST
RICE LAKE, WI 54868
Otolaryngology
1700 W STOUT ST
RICE LAKE, WI 54868
Internal Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Surgery
1700 W STOUT ST
RICE LAKE, WI 54868
Urology
1700 W STOUT ST
RICE LAKE, WI 54868
Family Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Family Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Family Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Family Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Family Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Family Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Family Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Family Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Family Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Physician Assistant
1700 W STOUT ST
RICE LAKE, WI 54868
Family Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Family Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Pediatrics
1700 W STOUT ST
RICE LAKE, WI 54868

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245293463, enumerated as an "individual" on April 10, 2006.

The provider is located at 1700 W STOUT ST RICE LAKE, WI 54868 and the phone number is (715) 236-8100.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.