MIMI ANN KINGERY PA
NPI 1790065035
Physician Assistant - Medical in Pensacola, FL

Active since August 18, 2011PECOS EnrolledAccepts Medicare Assignment
5147 N 9TH AVE STE 311, PENSACOLA, FL 32504(850) 477-2597(850) 478-7941 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mimi Ann Kingery Pa NPPES

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

MIMI ANN KINGERY PA (NPI 1790065035) is an individual medical provider in Pensacola, Florida, licensed in Florida (PA9106214) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of University Of South Alabama College Of Medicine (2011).

NPPES Registry Identity

NPI1790065035
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMIMI ANN KINGERYCredential: PA
Location Address5147 N 9TH AVE STE 311Pensacola, FL 32504-8770
Mailing Address4828 N Davis HwyPensacola, FL 32503-2341 · (850) 477-8109 · Fax (850) 478-2412
Fax(850) 478-7941
Sole ProprietorYes
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2011
Enumeration DateAugust 18, 2011
Last NPPES UpdateApril 11, 2018
NPI 1790065035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9106214
5147 N 9TH AVE STE 311, Pensacola, FL 32504

Other Identifiers 3

Medicaid000132945FL
OtherY08Z7FL · Bcbs
OtherFO262ZFL · Mcr

Accepted 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

Mimi Ann Kingery Pa 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 ID4981878642
PECOS Enrollment IDI20250514003438
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 7

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
356 services300 patients
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.
184 services164 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.
67 services67 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
41 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Mercy Hospital Southeast

Acute Care Hospitals · Cape Girardeau, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260110
Location1701 Lacey StCape Girardeau, MO 63701 · Cape Girardeau County
Emergency services Birthing friendly

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.

Internal Medicine (Gastroenterology)
5147 N 9TH AVE STE 311
PENSACOLA, FL 32504
Nurse Practitioner (Adult Health)
5147 N 9TH AVE STE 311
PENSACOLA, FL 32504
Internal Medicine (Gastroenterology)
5147 N 9TH AVE STE 311
PENSACOLA, FL 32504
Internal Medicine (Gastroenterology)
5147 N 9TH AVE STE 311
PENSACOLA, FL 32504
Physician Assistant
5147 N 9TH AVE STE 311
PENSACOLA, FL 32504
Physician Assistant
5147 N 9TH AVE STE 311
PENSACOLA, FL 32504
Physician Assistant
5147 N 9TH AVE STE 311
PENSACOLA, FL 32504
Nurse Practitioner (Family)
5147 N 9TH AVE STE 311
PENSACOLA, FL 32504

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 Mimi Kingery's NPI number?

The NPI number for Mimi Kingery is 1790065035. It was assigned to this individual provider in the NPPES registry on August 18, 2011.

Where is Mimi Kingery located?

Mimi Kingery practices at 5147 N 9th Ave Ste 311, Pensacola, FL 32504. The listed phone number is (850) 477-2597.

What is Mimi Kingery's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mimi Kingery enrolled in Medicare?

Yes. Mimi Kingery 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 Mimi Kingery accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Mimi Kingery 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 Mimi Kingery affiliated with any hospitals?

According to CMS data, Mimi Kingery is affiliated with Sacred Heart Hospital and Mercy Hospital Southeast.

When was this NPI record last updated?

The NPPES record for Mimi Kingery was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.