MISS KIMBERLY BETH MACINTIRE PAC
NPI 1609151786
Physician Assistant in Knoxville, TN

Q: What is Kimberly Macintire's NPI number?

The NPI number for Kimberly Macintire is 1609151786. It was assigned to this individual provider in the NPPES registry on October 20, 2011.

Q: What is Kimberly Macintire's specialty?

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

Active since October 20, 2011PECOS Enrolled

400 GOODYS LN, KNOXVILLE, TN 37922(865) 288-8327(865) 288-5903 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Miss Kimberly Beth Macintire Pac NPPES

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

MISS KIMBERLY BETH MACINTIRE PAC (NPI 1609151786) is an individual physician assistant in Knoxville, Tennessee, licensed in Tennessee (2091) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609151786

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMISS KIMBERLY BETH MACINTIRECredential: PAC

Location Address400 GOODYS LNKnoxville, TN 37922-1900

Mailing Address256 Fort Sanders West Blvd, Ste 200Knoxville, TN 37922-3355 · (865) 231-9481 · Fax (865) 769-4501

Phone(865) 288-8327

Fax(865) 288-5903

Sole ProprietorNo

Enumeration DateOctober 20, 2011

Last NPPES UpdateDecember 14, 2016

✔ NPI 1609151786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in TN · 2091✔ Licensed in AL · PA.892

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.

400 GOODYS LN, Knoxville, TN 37922

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Other Identifiers 1

Medicare PIN103I985153TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Kimberly Beth Macintire Pac 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 37922 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

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Other Providers at the Same Location NPPES 17

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

OLIVIA ANNE KOCHEVAR

Student in an Organized Health Care Education/Training Program