KIMBERLY HASENBOEHLER PA
NPI 1669552923
Physician Assistant - Surgical in Pikesville, MD

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
8923 GRUMMORE CIR, PIKESVILLE, MD 21208(720) 979-1002 Get Directions Write a Review

NPPES record last updated: November 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Hasenboehler Pa NPPES

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

KIMBERLY HASENBOEHLER PA (NPI 1669552923) is an individual surgical provider in Pikesville, Maryland, licensed in Maryland (C04626) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Northwest Hospital Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1669552923
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKIMBERLY HASENBOEHLERCredential: PA
Location Address8923 GRUMMORE CIRPikesville, MD 21208-1427
Mailing Address8923 Grummore CirPikesville, MD 21208-1427 · (720) 979-1002
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 17, 2006
Last NPPES UpdateNovember 2, 2011
NPI 1669552923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MD · C04626
8923 GRUMMORE CIR, Pikesville, MD 21208

Other Identifiers 2

Medicaid8D9264TX
Medicare UPINQ51247

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 Hasenboehler Pa 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 ID6608800719
PECOS Enrollment IDI20120712000332
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.

Northwest Hospital Center

Acute Care Hospitals · Randallstown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210040
Location5401 Old Court RoadRandallstown, MD 21133 · Baltimore County
Emergency services

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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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 Hasenboehler's NPI number?

The NPI number for Kimberly Hasenboehler is 1669552923. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Kimberly Hasenboehler located?

Kimberly Hasenboehler practices at 8923 Grummore Cir, Pikesville, MD 21208. The listed phone number is (720) 979-1002.

What is Kimberly Hasenboehler's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kimberly Hasenboehler enrolled in Medicare?

Yes. Kimberly Hasenboehler 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 Hasenboehler affiliated with any hospitals?

According to CMS data, Kimberly Hasenboehler is affiliated with Northwest Hospital Center.

When was this NPI record last updated?

The NPPES record for Kimberly Hasenboehler was last updated on November 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.