KIMMELCARE FAMILY PRACTICE PA
NPI 1679511224
Family Medicine in Melbourne, FL
About Kimmelcare Family Practice Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMMELCARE FAMILY PRACTICE PA (NPI 1679511224) is a healthcare organization registered as a family medicine in Melbourne, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through June 20, 2028 and lists Murray A Kimmel, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimmelcare Family Practice Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kimmelcare Family Practice PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D0963188
Kimmelcare Family Practice PA · Melbourne, FLFrequently 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 Kimmelcare Family Practice PA's NPI number?
The NPI number for Kimmelcare Family Practice PA is 1679511224. It was assigned to this organization in the NPPES registry on June 4, 2006.
Where is Kimmelcare Family Practice PA located?
Kimmelcare Family Practice PA is located at 2230 N Wickham Rd Suite B, Melbourne, FL 32935. The listed phone number is (321) 757-0600.
What is Kimmelcare Family Practice PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kimmelcare Family Practice PA enrolled in Medicare?
Yes. Kimmelcare Family Practice PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kimmelcare Family Practice PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Kimmelcare Family Practice PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kimmelcare Family Practice PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0963188) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Kimmelcare Family Practice PA was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kimmelcare Family Practice Pa · NPI 1679511224
Family Medicine organization in Melbourne, Florida. Organization record, active in the CMS NPPES registry since June 4, 2006.
## Identity
- **NPI:** 1679511224 (Entity type: Organization)
- **Enumerated:** June 4, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Murray Kimmel, PRESIDENT
## Practice location
- **Address:** 2230 N WICKHAM RD, SUITE B, Melbourne, FL 32935
- **Phone:** (321) 757-0600 · **Fax:** (321) 757-0690
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2022
- **Other identifiers:** Medicaid 379144100 (FL); Other 2001160 (FL); Other 4847751001 (FL); and 4 more
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1679511224) · Data from the CMS NPPES public registry.