TRACI A. KIMBALL MD PC
NPI 1326449646
Clinic/Center - Multi-Specialty in Arvada, CO

Q: What is Traci A. Kimball MD PC's NPI number?

The NPI number for Traci A. Kimball MD PC is 1326449646. It was assigned to this organization in the NPPES registry on September 5, 2014. The provider is doing business as The WISH Clinic.

Q: What is Traci A. Kimball MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since September 05, 2014

10050 RALSTON RD UNIT 3, ARVADA, CO 80004(720) 577-4584(720) 577-4587 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2025, Apr 4, 2025, Jul 7, 2022 and 2 more (5 updates tracked since 2016).

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About Traci A. Kimball Md Pc NPPES

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

TRACI A. KIMBALL MD PC (NPI 1326449646), doing business as The Wish Clinic, is a healthcare organization registered as a multi-specialty in Arvada, Colorado and active in the NPI registry since September 2014. The organization lists Traci A. Kimball, Owner, as its authorized official.

NPPES Registry Identity

NPI1326449646

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameTRACI A. KIMBALL MD PC

Location Address10050 RALSTON RD UNIT 3Arvada, CO 80004-4974

Mailing Address10050 Ralston Rd Unit 3Arvada, CO 80004-4974 · (720) 577-4584 · Fax (720) 577-4587

Phone(720) 577-4584

Fax(720) 577-4587

Organization SubpartNo

Authorized OfficialTraci A. KimballOwner · (720) 557-6510

Enumeration DateSeptember 5, 2014

Last NPPES UpdateApril 7, 20255 updates tracked since enumeration

NPPES CertifiedApril 7, 2025

✔ NPI 1326449646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X

Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X

Also ListedRegistered Nurse · Infusion TherapyTaxonomy 163WI0500X

Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X

Also ListedLicensed Practical NurseTaxonomy 164W00000X

Also ListedHealth and Wellness CoachTaxonomy 171400000X

Also ListedPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy 1835P0018X

Also ListedIntegrative MedicineTaxonomy 202D00000X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedSurgeryTaxonomy 208600000X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedClinic/Center · ResearchTaxonomy 261QR1100X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

10050 RALSTON RD UNIT 3, Arvada, CO 80004

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Other Names 1

Doing Business AsThe Wish Clinic

Other Identifiers 1

Medicaid41180259CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Traci A. Kimball Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Traci A. Kimball MD PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Traci Kimball, MD CWSP

General Surgery

NPI 1841337110

10050 RALSTON RD UNIT 3
Arvada, CO 80004

(303) 940-1611

✔ PECOS✔ Accepts MedicareSame address

Bonnie Ferrell, FNP

Nurse Practitioner

NPI 1184173213

2045 N FRANKLIN ST
Denver, CO 80205

(303) 861-7878

✔ PECOS8.7 mi

Jacqueline Mogusu

Nurse Practitioner

NPI 1881162527

4541 N JOSEY LN STE 110
Carrollton, TX 75010

(469) 788-8588

✔ PECOS654 mi

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

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 Traci A. Kimball MD PC's NPI number?

The NPI number for Traci A. Kimball MD PC is 1326449646. It was assigned to this organization in the NPPES registry on September 5, 2014. The provider is doing business as The WISH Clinic.

Where is Traci A. Kimball MD PC located?

Traci A. Kimball MD PC is located at 10050 Ralston Rd Unit 3, Arvada, CO 80004. The listed phone number is (720) 577-4584.

What is Traci A. Kimball MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Traci A. Kimball MD PC enrolled in Medicare?

Yes. Traci A. Kimball MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Traci A. Kimball MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Traci A. Kimball MD PC, in General Surgery and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Traci A. Kimball MD PC was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.