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MS. KIMBERLY ANDERSON PA-C
NPI 1326694464
Physician Assistant in Austin, TX

Active since August 14, 2019PECOS Enrolled
11801 DOMAIN BLVD STE 120, AUSTIN, TX 78758(512) 649-1004(512) 572-5184 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2026, Nov 19, 2021, Aug 14, 2019 (3 updates tracked since 2019).

About Ms. Kimberly Anderson Pa-c NPPES

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

MS. KIMBERLY ANDERSON PA-C (NPI 1326694464) is an individual physician assistant in Austin, Texas, licensed in Texas (PA13918) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1326694464
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KIMBERLY ANDERSONCredential: PA-C
Location Address11801 DOMAIN BLVD STE 120Austin, TX 78758-3455
Mailing Address11801 Domain Blvd Ste 120Austin, TX 78758-3455 · (512) 649-1004 · Fax (512) 572-5184
Phone(512) 649-1004
Fax(512) 572-5184
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 14, 2019
Last NPPES UpdateMay 6, 20263 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1326694464 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 TX · PA13918
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.
11801 DOMAIN BLVD STE 120, Austin, TX 78758
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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 (PECOS)

Ms. Kimberly Anderson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385112085
PECOS Enrollment IDI20260511002009
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78758 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

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 Kimberly Anderson's NPI number?

The NPI number for Kimberly Anderson is 1326694464. It was assigned to this individual provider in the NPPES registry on August 14, 2019.

Where is Kimberly Anderson located?

Kimberly Anderson practices at 11801 Domain Blvd Ste 120, Austin, TX 78758. The listed phone number is (512) 649-1004.

What is Kimberly Anderson's specialty?

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

Is Kimberly Anderson enrolled in Medicare?

Yes. Kimberly Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Anderson was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.