KIMBERLY W STACKPOLE
NPI 1881001162
Physician Assistant - Medical in Daytona Beach, FL
About Kimberly W Stackpole NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY W STACKPOLE (NPI 1881001162) is an individual medical provider in Daytona Beach, Florida and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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 W Stackpole 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Halifax Health Medical Center
Acute Care Hospitals · Daytona Beach, FLOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
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 Stackpole's NPI number?
The NPI number for Kimberly Stackpole is 1881001162. It was assigned to this individual provider in the NPPES registry on July 17, 2014.
Where is Kimberly Stackpole located?
Kimberly Stackpole practices at 311 N Clyde Morris Blvd Suite 320, Daytona Beach, FL 32114. The listed phone number is (386) 255-5331.
What is Kimberly Stackpole's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Kimberly Stackpole enrolled in Medicare?
Yes. Kimberly Stackpole 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.
Is Kimberly Stackpole affiliated with any hospitals?
According to CMS data, Kimberly Stackpole is affiliated with Halifax Health Medical Center.
When was this NPI record last updated?
The NPPES record for Kimberly Stackpole was last updated on July 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kimberly W Stackpole · NPI 1881001162
Medical physician in Daytona Beach, Florida. Individual provider, active in the CMS NPPES registry since July 17, 2014.
## Identity
- **NPI:** 1881001162 (Entity type: Individual)
- **Enumerated:** July 17, 2014
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 311 N CLYDE MORRIS BLVD, SUITE 320, Daytona Beach, FL 32114-2781
- **Phone:** (386) 255-5331
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 17, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1881001162) · Data from the CMS NPPES public registry.