MRS. MARY ANNE KIDWELL PA-C
NPI 1649365289
Physician Assistant - Medical in Delray Beach, FL

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
5352 LINTON BLVD, DELRAY BEACH, FL 33484(561) 498-4440 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 20, 2024, Dec 31, 2019, Jan 23, 2017 (3 updates tracked since 2017).

About Mrs. Mary Anne Kidwell Pa-c NPPES

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

MRS. MARY ANNE KIDWELL PA-C (NPI 1649365289) is an individual medical provider in Delray Beach, Florida, licensed in Florida (9118662) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Sanford Chamberlain Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1649365289
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. MARY ANNE KIDWELLCredential: PA-C
Location Address5352 LINTON BLVDDelray Beach, FL 33484-6514
Mailing Address5190 Las Verdes Cir Apt 212Delray Beach, FL 33484-8048 · (702) 332-4191
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 24, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2025
NPI 1649365289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in FL · 9118662 Licensed in NV · PA839
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA839 (NV), 1537 (SD)
5352 LINTON BLVD, Delray Beach, FL 33484

Other Identifiers 4

OtherPA839NV · State License
Other9118662FL · State License
Other1537SD · State License
Medicaid1649365289NV

Accepted 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. Mary Anne Kidwell 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 ID9234119074
PECOS Enrollment IDI20241016004119
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.

Hospital Affiliations CMS Care Compare

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

Sanford Chamberlain Medical Center

Critical Access Hospitals · Chamberlain, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431329
Location300 S ByronChamberlain, SD 57325 · Brule County
Emergency services

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.

Radiology (Diagnostic Radiology)
5352 LINTON BLVD, RADIOLOGY DEPARTMENT
DELRAY BEACH, FL 33484
Hospitalist
5352 LINTON BLVD
DELRAY BEACH, FL 33484
Surgery
5352 LINTON BLVD, TRAUMA SERVICES
DELRAY BEACH, FL 33484
Hospitalist
5352 LINTON BLVD
DELRAY BEACH, FL 33484
Internal Medicine
5352 LINTON BLVD
DELRAY BEACH, FL 33484
Nurse Anesthetist, Certified Registered
5352 LINTON BLVD
DELRAY BEACH, FL 33484
Registered Nurse (Medical-Surgical)
5352 LINTON BLVD
DELRAY BEACH, FL 33484
Radiology (Diagnostic Radiology)
5352 LINTON BLVD
DELRAY BEACH, FL 33484

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 Mary Kidwell's NPI number?

The NPI number for Mary Kidwell is 1649365289. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Mary Kidwell located?

Mary Kidwell practices at 5352 Linton Blvd, Delray Beach, FL 33484. The listed phone number is (561) 498-4440.

What is Mary Kidwell's specialty?

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

Is Mary Kidwell enrolled in Medicare?

Yes. Mary Kidwell 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 Mary Kidwell accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Oscar Insurance Company and Sanford Health Plan list Mary Kidwell 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 Mary Kidwell affiliated with any hospitals?

According to CMS data, Mary Kidwell is affiliated with Sanford Chamberlain Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Kidwell was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.