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KIMBERLY EDMONDS PA-C
NPI 1760104855
Physician Assistant in Stayton, OR

Active since September 14, 2022PECOS EnrolledAccepts Medicare Assignment
1401 N 10TH AVE STE 100, STAYTON, OR 97383(503) 769-6386(503) 769-5647 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Edmonds Pa-c NPPES

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

KIMBERLY EDMONDS PA-C (NPI 1760104855) is an individual physician assistant in Stayton, Oregon, licensed in Oregon (PA218013) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Santiam Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1760104855
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY EDMONDSCredential: PA-C
Location Address1401 N 10TH AVE STE 100Stayton, OR 97383-1486
Mailing Address4777 Whitman Cir NeSalem, OR 97305-3600 · (530) 680-1003
Phone(503) 769-6386
Fax(503) 769-5647
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 14, 2022
Last NPPES UpdateJanuary 26, 2024
NPPES CertifiedJanuary 26, 2024
✔ NPI 1760104855 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 OR · PA218013
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.
1401 N 10TH AVE STE 100, Stayton, OR 97383
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.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 Edmonds 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 ID5496198087
PECOS Enrollment IDI20240212000373
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.

Santiam Hospital

Acute Care Hospitals · Stayton, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380056
Location1401 N 10th AvenueStayton, OR 97383 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97383 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

IAN CAVIGLI PA-C
Physician Assistant
1401 N 10TH AVE STE 100
STAYTON, OR 97383
Marion County (503) 769-6386
JEANNE L FITZPATRICK MD PC
Family Medicine
1401 N 10TH AVE STE 100
STAYTON, OR 97383
Marion County (503) 769-4602
DR. PAUL J. NEUMANN M.D.
Family Medicine
1401 N 10TH AVE STE 100
STAYTON, OR 97383
Marion County (503) 769-6386
KELSEY MARIE PORTER PA-C
Physician Assistant
1401 N 10TH AVE STE 100
STAYTON, OR 97383
Marion County (503) 769-6386
MARIA MARGARITA TURNEY FNP
Nurse Practitioner (Family)
1401 N 10TH AVE STE 100
STAYTON, OR 97383
Marion County (503) 769-6386
FATIMA JANETH DEALY PA-C
Physician Assistant
1401 N 10TH AVE STE 100
STAYTON, OR 97383
Marion County (503) 769-2175
KIM DANG MD
Internal Medicine
1401 N 10TH AVE STE 100
STAYTON, OR 97383
Marion County (503) 769-6386

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 Edmonds's NPI number?

The NPI number for Kimberly Edmonds is 1760104855. It was assigned to this individual provider in the NPPES registry on September 14, 2022.

Where is Kimberly Edmonds located?

Kimberly Edmonds practices at 1401 N 10th Ave Ste 100, Stayton, OR 97383. The listed phone number is (503) 769-6386.

What is Kimberly Edmonds's specialty?

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

Is Kimberly Edmonds enrolled in Medicare?

Yes. Kimberly Edmonds 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 Edmonds accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kimberly Edmonds 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 Edmonds affiliated with any hospitals?

According to CMS data, Kimberly Edmonds is affiliated with Santiam Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Edmonds was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.