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MS. KIMBERLY JAE CHRISMAN PA-C
NPI 1487679429
Physician Assistant - Surgical in Phoenix, AZ

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
500 W THOMAS RD STE 400, PHOENIX, AZ 85013(602) 406-3874(602) 406-2335 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2024, May 9, 2023, Jul 12, 2019 and 1 more (4 updates tracked since 2019).

About Ms. Kimberly Jae Chrisman Pa-c NPPES

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

MS. KIMBERLY JAE CHRISMAN PA-C (NPI 1487679429) is an individual surgical provider in Phoenix, Arizona, licensed in Arizona (2922) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chandler, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1487679429
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. KIMBERLY JAE CHRISMANCredential: PA-C
Location Address500 W THOMAS RD STE 400Phoenix, AZ 85013-4238
Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358
Phone(602) 406-3874
Fax(602) 406-2335
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 12, 2006
Last NPPES UpdateJune 8, 20264 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1487679429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in AZ · 2922
500 W THOMAS RD STE 400, Phoenix, AZ 85013
Open in Google Maps ↗

Secondary Practice Location 1

Location 11955 W Frye RdChandler, AZ 85224-6282 · Phone (480) 728-4700 · Fax (480) 728-4747

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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

Ms. Kimberly Jae Chrisman 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 ID840221511
PECOS Enrollment IDI20050823000779
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
11 services11 patients

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.

DR. RONALD ANTHONY GAGLIANO JR. M.D.
Colon & Rectal Surgery
500 W THOMAS RD STE 400
PHOENIX, AZ 85013
Maricopa County (602) 406-3874
KEVIN P MCGEEVER M.D.
Surgery
500 W THOMAS RD STE 400
PHOENIX, AZ 85013
Maricopa County (602) 406-3874
JENNIFER RAE QUEZADA NP
Nurse Practitioner (Acute Care)
500 W THOMAS RD STE 400
PHOENIX, AZ 85013
Maricopa County (602) 406-4786
DR. JONATHAN L DAMEWORTH M.D.
Colon & Rectal Surgery
500 W THOMAS RD STE 400
PHOENIX, AZ 85013
Maricopa County (602) 406-3874
DR. JORDAN VERNON JACOBS M.D.
Surgery
500 W THOMAS RD STE 400
PHOENIX, AZ 85013
Maricopa County (480) 406-3874
MR. DERIK MICHAEL ALEXANDER FNP
Nurse Practitioner (Adult Health)
500 W THOMAS RD STE 400
PHOENIX, AZ 85013
Maricopa County (602) 406-3874
NIMESH DINESH NAIK MD
Colon & Rectal Surgery
500 W THOMAS RD STE 400
PHOENIX, AZ 85013
Maricopa County (602) 406-3874
BRIAN CZARKOWSKI
Surgery (Surgical Critical Care)
500 W THOMAS RD STE 400
PHOENIX, AZ 85013
Maricopa County (602) 406-3874

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 Chrisman's NPI number?

The NPI number for Kimberly Chrisman is 1487679429. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Kimberly Chrisman located?

Kimberly Chrisman practices at 500 W Thomas Rd Ste 400, Phoenix, AZ 85013. The listed phone number is (602) 406-3874.

What is Kimberly Chrisman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kimberly Chrisman enrolled in Medicare?

Yes. Kimberly Chrisman 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.

What insurance does Kimberly Chrisman accept?

Health plans from Blue Cross Blue Shield of Arizona list Kimberly Chrisman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Chrisman was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.