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MRS. KIMBERLY ANN JEROME PA-C
NPI 1518235159
Physician Assistant - Medical in Champions Gate, FL

Active since December 10, 2011PECOS EnrolledAccepts Medicare Assignment
1485 LEGENDS BLVD, CHAMPIONS GATE, FL 33896(407) 390-6480(407) 390-6483 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 26, 2019, Nov 14, 2018 (2 updates tracked since 2018).

About Mrs. Kimberly Ann Jerome Pa-c NPPES

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

MRS. KIMBERLY ANN JEROME PA-C (NPI 1518235159) is an individual medical provider in Champions Gate, Florida, licensed in Florida (PA9106227) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1518235159
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KIMBERLY ANN JEROMECredential: PA-C
Location Address1485 LEGENDS BLVDChampions Gate, FL 33896-8393
Mailing Address6106 Huckleberry AveOrlando, FL 32819-4176 · (407) 668-5431
Phone(407) 390-6480
Fax(407) 390-6483
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 10, 2011
Last NPPES UpdateSeptember 26, 20192 updates tracked since enumeration
✔ NPI 1518235159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9106227
1485 LEGENDS BLVD, Champions Gate, FL 33896
Open in Google Maps ↗

Other Names 1

Former Name (1)Kimberly Pielhau Kimberly Bouldry

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Wellpoint.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

Mrs. Kimberly Ann Jerome 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 ID6507026549
PECOS Enrollment IDI20120328000569
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
314 services146 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
54 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services27 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Adventhealth Heart Of Florida

Acute Care Hospitals · Davenport, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100137
Location40100 Hwy 27Davenport, FL 33837 · Polk County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$9.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

BVL FAMILY MEDICAL CENTERS
Non-Pharmacy Dispensing Site
1485 LEGENDS BLVD
CHAMPIONS GATE, FL 33896
Polk County (407) 390-6480
JANET CHEN DO
Family Medicine
1485 LEGENDS BLVD
CHAMPIONS GATE, FL 33896
Polk County (407) 390-6480
NAILA MANAHIL MD
Family Medicine
1485 LEGENDS BLVD
CHAMPIONS GATE, FL 33896
Polk County (407) 390-6480

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 Jerome's NPI number?

The NPI number for Kimberly Jerome is 1518235159. It was assigned to this individual provider in the NPPES registry on December 10, 2011. The provider is also known as Kimberly Pielhau Kimberly Bouldry.

Where is Kimberly Jerome located?

Kimberly Jerome practices at 1485 Legends Blvd, Champions Gate, FL 33896. The listed phone number is (407) 390-6480.

What is Kimberly Jerome's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kimberly Jerome enrolled in Medicare?

Yes. Kimberly Jerome 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 Jerome accept?

Health plans from Oscar Health Maintenance Organization of Florida and Wellpoint list Kimberly Jerome 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.

Is Kimberly Jerome affiliated with any hospitals?

According to CMS data, Kimberly Jerome is affiliated with Adventhealth Orlando and Adventhealth Heart Of Florida.

When was this NPI record last updated?

The NPPES record for Kimberly Jerome was last updated on September 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.