KIMBERLY ANN KIM
NPI 1669162897
Physician Assistant in Gainesville, FL

Active since May 10, 2023PECOS Enrolled
6440 W NEWBERRY RD STE 102, GAINESVILLE, FL 32605(352) 333-5610(352) 333-5611 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 20, 2026, Dec 2, 2025, May 10, 2023 (3 updates tracked since 2023).

About Kimberly Ann Kim NPPES

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

KIMBERLY ANN KIM (NPI 1669162897) is an individual physician assistant in Gainesville, Florida, licensed in Florida (PA9121573) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1669162897
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY ANN KIM
Location Address6440 W NEWBERRY RD STE 102Gainesville, FL 32605-4368
Mailing Address6440 W Newberry Rd Ste 102Gainesville, FL 32605-4368 · (352) 333-5610 · Fax (352) 333-5611
Fax(352) 333-5611
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 10, 2023
Last NPPES UpdateMarch 20, 20263 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
NPI 1669162897 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 FL · PA9121573
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.

6440 W NEWBERRY RD STE 102, Gainesville, FL 32605

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 Ann Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002387388
PECOS Enrollment IDI20260608002483
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 32605 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 7

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

Nurse Practitioner
6440 W NEWBERRY RD STE 102
GAINESVILLE, FL 32605
Physician Assistant
6440 W NEWBERRY RD STE 102
GAINESVILLE, FL 32605
Physician Assistant
6440 W NEWBERRY RD STE 102
GAINESVILLE, FL 32605
Physician Assistant
6440 W NEWBERRY RD STE 102
GAINESVILLE, FL 32605
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6440 W NEWBERRY RD STE 102
GAINESVILLE, FL 32605
Physician Assistant
6440 W NEWBERRY RD STE 102
GAINESVILLE, FL 32605
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6440 W NEWBERRY RD STE 102
GAINESVILLE, FL 32605

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 Kim's NPI number?

The NPI number for Kimberly Kim is 1669162897. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Kimberly Kim located?

Kimberly Kim practices at 6440 W Newberry Rd Ste 102, Gainesville, FL 32605. The listed phone number is (352) 333-5610.

What is Kimberly Kim's specialty?

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

Is Kimberly Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Kim was last updated on March 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.