KIMBERLY BARDALL
NPI 1619714516
Nurse Practitioner in Danville, PA
About Kimberly Bardall NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY BARDALL (NPI 1619714516) is an individual nurse practitioner in Danville, Pennsylvania, licensed in Pennsylvania (SP030028) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Kimberly Bardall 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Geisinger Medical Center
Acute Care Hospitals · Danville, PAEvangelical Community Hospital
Acute Care Hospitals · Lewisburg, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17822 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DANVILLE, PA 17822
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 Bardall's NPI number?
The NPI number for Kimberly Bardall is 1619714516. It was assigned to this individual provider in the NPPES registry on July 9, 2024. The provider is also known as Kimberly Stauder.
Where is Kimberly Bardall located?
Kimberly Bardall practices at 100 N Academy Ave, Danville, PA 17822. The listed phone number is (570) 214-4745.
What is Kimberly Bardall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kimberly Bardall enrolled in Medicare?
Yes. Kimberly Bardall 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.
Is Kimberly Bardall affiliated with any hospitals?
According to CMS data, Kimberly Bardall is affiliated with Geisinger Medical Center and Evangelical Community Hospital.
When was this NPI record last updated?
The NPPES record for Kimberly Bardall was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Kimberly Bardall · NPI 1619714516
Nurse Practitioner physician in Danville, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 9, 2024.
## Identity
- **NPI:** 1619714516 (Entity type: Individual)
- **Enumerated:** July 9, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** SP030028 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 N ACADEMY AVE, Danville, PA 17822-0001
- **Phone:** (570) 214-4745
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619714516) · Data from the CMS NPPES public registry.