KOHL JEFFRY KIMMEL
NPI 1336966647
Physician Assistant in Yukon, OK

Active since September 26, 2024PECOS EnrolledAccepts Medicare Assignment
1608 CASTLE ROCK RD, YUKON, OK 73099(405) 301-9988 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2026, Sep 26, 2024 (2 updates tracked since 2024).

About Kohl Jeffry Kimmel NPPES

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

KOHL JEFFRY KIMMEL (NPI 1336966647) is an individual physician assistant in Yukon, Oklahoma, licensed in Oklahoma (5634) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1336966647
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKOHL JEFFRY KIMMEL
Location Address1608 CASTLE ROCK RDYukon, OK 73099-4429
Mailing Address1608 Castle Rock RdYukon, OK 73099-4429 · (405) 301-9988
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 26, 2024
Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
NPI 1336966647 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 OK · 5634
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.
1608 CASTLE ROCK RD, Yukon, OK 73099

Secondary Practice Locations 7

Location 11102 W MacArthur StShawnee, OK 74804-1743 · Phone (405) 273-2270
Location 23400 S Douglas BlvdOklahoma City, OK 73150-1001 · Phone (405) 815-5600
Location 31000 N Lee AveOklahoma City, OK 73102-1036 · Phone (405) 272-7000
Location 413500 S Tulsa DrOklahoma City, OK 73170-9719 · Phone (405) 815-5600
Location 513401 N Western AveOklahoma City, OK 73114-1408 · Phone (405) 252-3400
Location 62825 Parklawn DrMidwest City, OK 73110-4201 · Phone (405) 610-4411
Location 7201 S Sara RdMustang, OK 73064-4306 · Phone (405) 376-4505

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

Kohl Jeffry Kimmel 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 ID5193202992
PECOS Enrollment IDI20260122004135
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.

Hospital Affiliations CMS Care Compare

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73099 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
1608 CASTLE ROCK RD
YUKON, OK 73099

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 Kohl Kimmel's NPI number?

The NPI number for Kohl Kimmel is 1336966647. It was assigned to this individual provider in the NPPES registry on September 26, 2024.

Where is Kohl Kimmel located?

Kohl Kimmel practices at 1608 Castle Rock Rd, Yukon, OK 73099. The listed phone number is (405) 301-9988.

What is Kohl Kimmel's specialty?

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

Is Kohl Kimmel enrolled in Medicare?

Yes. Kohl Kimmel 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.

Is Kohl Kimmel affiliated with any hospitals?

According to CMS data, Kohl Kimmel is affiliated with Ssm Health St Anthony Hospital - Oklahoma City.

When was this NPI record last updated?

The NPPES record for Kohl Kimmel was last updated on March 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.