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KIMBERLY MARIE RENO PA-C
NPI 1679902803
Physician Assistant in San Diego, CA

Active since November 07, 2013PECOS EnrolledAccepts Medicare Assignment
4060 4TH AVE #700, SAN DIEGO, CA 92103(619) 299-8500(619) 299-3370 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 2, 2026, May 19, 2022, Mar 29, 2020 and 1 more (4 updates tracked since 2016).

About Kimberly Marie Reno Pa-c NPPES

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

KIMBERLY MARIE RENO PA-C (NPI 1679902803) is an individual physician assistant in San Diego, California, licensed in Michigan (5601008333) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and maintains a secondary practice location in Coralville.

NPPES Registry Identity

NPI1679902803
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY MARIE RENOCredential: PA-C
Location Address4060 4TH AVE #700San Diego, CA 92103
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806
Phone(619) 299-8500
Fax(619) 299-3370
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 7, 2013
Last NPPES UpdateFebruary 2, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1679902803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MI · 5601008333✔ Licensed in GA · 007055✔ Licensed in CA · PA60679
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.

Other Names 1

Former Name (1)Kimberly Marie Benson Pa-c

Secondary Practice Location 1

Location 1105 E 9th StCoralville, IA 52241-2209 · Phone (319) 467-2000 · Fax (319) 467-2410

Other Identifiers 4

Medicaid003141282AGA
Medicaid003141282BGA
Medicaid003141282CGA
OtherP01264041GA · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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

Kimberly Marie Reno 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 ID6002044740
PECOS Enrollment IDI20260227003758
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.

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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 Reno's NPI number?

The NPI number for Kimberly Reno is 1679902803. It was assigned to this individual provider in the NPPES registry on November 7, 2013. The provider is also known as Kimberly Marie Benson Pa-C.

Where is Kimberly Reno located?

Kimberly Reno practices at 4060 4th Ave #700, San Diego, CA 92103. The listed phone number is (619) 299-8500.

What is Kimberly Reno's specialty?

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

Is Kimberly Reno enrolled in Medicare?

Yes. Kimberly Reno 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 Kimberly Reno accept?

Health plans from Sanford Health Plan list Kimberly Reno 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 Kimberly Reno affiliated with any hospitals?

According to CMS data, Kimberly Reno is affiliated with Henry Ford Macomb Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Reno was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.