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KIMBERLY M PENNINGTON PA
NPI 1518993799
Physician Assistant in Haymarket, VA

Active since June 23, 2006PECOS Enrolled
15195 HEATHCOTE BLVD, STE 330, HAYMARKET, VA 20169(571) 248-0167(571) 248-0173 Get Directions Write a Review

NPPES record last updated: August 4, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly M Pennington Pa NPPES

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

KIMBERLY M PENNINGTON PA (NPI 1518993799) is an individual physician assistant in Haymarket, Virginia, licensed in Virginia (0110001585) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518993799
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY M PENNINGTONCredential: PA
Location Address15195 HEATHCOTE BLVD, STE 330Haymarket, VA 20169-6242
Mailing Address15195 Heathcote Blvd, Ste 330Haymarket, VA 20169-6242 · (571) 248-0167 · Fax (571) 248-0173
Phone(571) 248-0167
Fax(571) 248-0173
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateAugust 4, 2011
✔ NPI 1518993799 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 VA · 0110001585
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.
15195 HEATHCOTE BLVD, Haymarket, VA 20169
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Other Identifiers 2

Medicare UPINQ79377
Medicare ID-Type Unspecified000610E54VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly M Pennington Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20169 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 5

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

ALEXANDRA L PARILLO
Physical Therapist
15195 HEATHCOTE BLVD, SUITE 334
HAYMARKET, VA 20169
Prince William County (804) 915-1910
NMG AFFILIATE PRACTICE I, LLC
Psychiatry & Neurology (Psychiatry)
15195 HEATHCOTE BLVD, STE 350
HAYMARKET, VA 20169
Prince William County (704) 316-7585
MR. AARON MIKEL CLARK LCSW
Social Worker (Clinical)
15195 HEATHCOTE BLVD, SUITE 350
HAYMARKET, VA 20169
Prince William County (571) 284-3180
MS. AMANDA BAIRD STREET
Nurse Practitioner
15195 HEATHCOTE BLVD
HAYMARKET, VA 20169
Prince William County (571) 261-3529
NMG AFFILIATE PRACTICE I, LLC
Obstetrics & Gynecology
15195 HEATHCOTE BLVD, SUITE 338
HAYMARKET, VA 20169
Prince William County (571) 261-3270

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 Pennington's NPI number?

The NPI number for Kimberly Pennington is 1518993799. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Kimberly Pennington located?

Kimberly Pennington practices at 15195 Heathcote Blvd Ste 330, Haymarket, VA 20169. The listed phone number is (571) 248-0167.

What is Kimberly Pennington's specialty?

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

Is Kimberly Pennington enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Pennington was last updated on August 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.