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KELLYN GIMBEL PA-C
NPI 1700476652
Physician Assistant in Greensboro, NC

Active since January 25, 2021PECOS Enrolled
1132 N CHURCH ST STE 101, GREENSBORO, NC 27401(336) 398-3988 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kellyn Gimbel Pa-c NPPES

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

KELLYN GIMBEL PA-C (NPI 1700476652) is an individual physician assistant in Greensboro, North Carolina, licensed in North Carolina (0010-10583) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700476652
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLYN GIMBELCredential: PA-C
Location Address1132 N CHURCH ST STE 101Greensboro, NC 27401-1040
Mailing Address4705 Stafford DrDurham, NC 27705-2215 · (570) 778-1767
Phone(336) 398-3988
Sole ProprietorNo
Enumeration DateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
✔ NPI 1700476652 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 NC · 0010-10583
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.
1132 N CHURCH ST STE 101, Greensboro, NC 27401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellyn Gimbel Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 27401 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 11

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

MATTHEW REILAND LCSW, LCAS
Social Worker (Clinical)
1132 N CHURCH ST STE 101
GREENSBORO, NC 27401
Guilford County (855) 501-1004
MRS. JESSICA PITTS CARTER NP
Nurse Practitioner (Psychiatric/Mental Health)
1132 N CHURCH ST STE 101
GREENSBORO, NC 27401
Guilford County (855) 501-1004
HIRA AYUB SILAT
Psychiatry & Neurology (Psychiatry)
1132 N CHURCH ST STE 101
GREENSBORO, NC 27401
Guilford County (919) 792-3938
KELLI GASKILL LOPEZ MSN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1132 N CHURCH ST STE 101
GREENSBORO, NC 27401
Guilford County (855) 501-1004
RACHEL NANCE PA-C
Physician Assistant
1132 N CHURCH ST STE 101
GREENSBORO, NC 27401
Guilford County (336) 398-3988
MS. KAREN SHUGART PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1132 N CHURCH ST STE 101
GREENSBORO, NC 27401
Guilford County (855) 501-1004
ATLEA JURBRIA BYRD LCSW
Social Worker (Clinical)
1132 N CHURCH ST STE 101
GREENSBORO, NC 27401
Guilford County (877) 876-3783
CERA ALLRED LCMHC
Counselor (Mental Health)
1132 N CHURCH ST STE 101
GREENSBORO, NC 27401
Guilford County (855) 501-1004

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 Kellyn Gimbel's NPI number?

The NPI number for Kellyn Gimbel is 1700476652. It was assigned to this individual provider in the NPPES registry on January 25, 2021.

Where is Kellyn Gimbel located?

Kellyn Gimbel practices at 1132 N Church St Ste 101, Greensboro, NC 27401. The listed phone number is (336) 398-3988.

What is Kellyn Gimbel's specialty?

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

Is Kellyn Gimbel enrolled in Medicare?

Yes. Kellyn Gimbel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kellyn Gimbel was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.