KIMBERLIE STICKNEY PA-C
NPI 1285991802
Physician Assistant in Jacksonville, FL

Q: What is Kimberlie Stickney's NPI number?

The NPI number for Kimberlie Stickney is 1285991802. It was assigned to this individual provider in the NPPES registry on April 20, 2012.

Q: What is Kimberlie Stickney's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since April 20, 2012PECOS EnrolledAccepts Medicare Assignment

4201 BELFORT RD, JACKSONVILLE, FL 32216(904) 296-3700 Get Directions Write a Review

NPPES record last updated: April 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimberlie Stickney Pa-c NPPES

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

KIMBERLIE STICKNEY PA-C (NPI 1285991802) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9101732) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Medstar Saint Mary's Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1285991802

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKIMBERLIE STICKNEYCredential: PA-C

Location Address4201 BELFORT RDJacksonville, FL 32216-1431

Mailing AddressPo Box 864366Orlando, FL 32886-0001

Phone(904) 296-3700

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateApril 20, 2012

✔ NPI 1285991802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9101732

Definition

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.

4201 BELFORT RD, Jacksonville, FL 32216

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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

Kimberlie Stickney Pa-c 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 ID2264694777

PECOS Enrollment IDI20141203001187

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.

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

19 services16 patients

Hospital Affiliations CMS Care Compare

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

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210028

Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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.

JENNIFER L. MAUZY MD

Emergency Medicine