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ERIN KIMBALL PA-C
NPI 1790034916
Physician Assistant in South Jordan, UT

Active since September 04, 2012PECOS Enrolled
10623 S REDWOOD RD, SUITE 101, SOUTH JORDAN, UT 84095(801) 302-0899(801) 253-1602 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Erin Kimball Pa-c NPPES

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

ERIN KIMBALL PA-C (NPI 1790034916) is an individual physician assistant in South Jordan, Utah, licensed in Utah (8413247-1206) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790034916
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameERIN KIMBALLCredential: PA-C
Location Address10623 S REDWOOD RD, SUITE 101South Jordan, UT 84095-2481
Mailing Address10623 S Redwood Rd, Ste 101South Jordan, UT 84095-2481 · (801) 302-0899 · Fax (801) 302-0892
Phone(801) 302-0899
Fax(801) 253-1602
Sole ProprietorNo
Enumeration DateSeptember 4, 2012
Last NPPES UpdateJanuary 26, 2022
✔ NPI 1790034916 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 UT · 8413247-1206
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.
10623 S REDWOOD RD, South Jordan, UT 84095
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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)

Erin Kimball 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84095 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$57.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

SOUTH VALLEY ORTHOMED, PLLC
Orthopaedic Surgery
10623 S REDWOOD RD, STE 101
SOUTH JORDAN, UT 84095
Salt Lake County (801) 566-4242
MISS KATHRYN RENEE MARSHALL P.A.-C
Physician Assistant (Medical)
10623 S REDWOOD RD, SUITE 101
SOUTH JORDAN, UT 84095
Salt Lake County (801) 566-4242
THERESA GOURDE MD
Internal Medicine
10623 S REDWOOD RD, SUITE 101
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-0899
ST. MARK'S SOUTH JORDAN FAMILY PRACTICE LLC
Family Medicine
10623 S REDWOOD RD, SUITE 101
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-0899

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 Erin Kimball's NPI number?

The NPI number for Erin Kimball is 1790034916. It was assigned to this individual provider in the NPPES registry on September 4, 2012.

Where is Erin Kimball located?

Erin Kimball practices at 10623 S Redwood Rd Suite 101, South Jordan, UT 84095. The listed phone number is (801) 302-0899.

What is Erin Kimball's specialty?

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

Is Erin Kimball enrolled in Medicare?

Yes. Erin Kimball is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Erin Kimball was last updated on January 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.