KIM STAPLES RPA-C
NPI 1538597463
Physician Assistant - Medical in East Northport, NY
About Kim Staples Rpa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM STAPLES RPA-C (NPI 1538597463) is an individual medical provider in East Northport, New York, licensed in New York (017142) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kim Staples Rpa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
EAST NORTHPORT, NY 11731
EAST NORTHPORT, NY 11731
EAST NORTHPORT, NY 11731
EAST NORTHPORT, NY 11731
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 Kim Staples's NPI number?
The NPI number for Kim Staples is 1538597463. It was assigned to this individual provider in the NPPES registry on November 1, 2013.
Where is Kim Staples located?
Kim Staples practices at 554 Larkfield Rd Ste 101, East Northport, NY 11731. The listed phone number is (631) 386-9166.
What is Kim Staples's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Kim Staples enrolled in Medicare?
Yes. Kim Staples is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kim Staples was last updated on May 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kim Staples, RPA-C · NPI 1538597463
Medical physician in East Northport, New York. Individual provider, active in the CMS NPPES registry since November 1, 2013.
## Identity
- **NPI:** 1538597463 (Entity type: Individual)
- **Enumerated:** November 1, 2013
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 017142 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 554 LARKFIELD RD, STE 101, East Northport, NY 11731-4205
- **Phone:** (631) 386-9166
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 31, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1538597463) · Data from the CMS NPPES public registry.