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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY W STACKPOLE
NPI 1881001162
Physician Assistant - Medical in Maitland, FL

Active since July 17, 2014PECOS Enrolled
2600 WESTHALL LN STE 4, MAITLAND, FL 32751(407) 200-2355(407) 200-4947 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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 Maitland, Florida, licensed in Florida (PA9108139) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and maintains a secondary practice location in Daytona Beach.

NPPES Registry Identity

NPI1881001162
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKIMBERLY W STACKPOLE
Location Address2600 WESTHALL LN STE 4Maitland, FL 32751-7102
Mailing Address311 N Clyde Morris Blvd, Suite 320Daytona Beach, FL 32114-2781 · (386) 255-5331
Phone(407) 200-2355
Fax(407) 200-4947
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 17, 2014
Last NPPES UpdateOctober 6, 2026
NPPES CertifiedOctober 6, 2026
✔ NPI 1881001162 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 · PA9108139
2600 WESTHALL LN STE 4, Maitland, FL 32751
Open in Google Maps ↗

Secondary Practice Location 1

Location 1311 N Clyde Morris Blvd, Suite 320Daytona Beach, FL 32114-2781 · Phone (386) 255-5331

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.

PECOS PAC ID3577888494
PECOS Enrollment IDI20150217000092
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.

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia 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.

CRYSTAL TAO PERKINS MD
Radiology (Diagnostic Radiology)
2600 WESTHALL LN STE 4
MAITLAND, FL 32751
Orange County (407) 200-2355
DR. CONNOR WILLIAM WOODWARD MD
Radiology (Diagnostic Radiology)
2600 WESTHALL LN STE 4
MAITLAND, FL 32751
Orange County (407) 200-2355
ASMITA PATEL DO
Radiology (Diagnostic Radiology)
2600 WESTHALL LN STE 4
MAITLAND, FL 32751
Orange County (407) 200-2355
ALBERT DAVID GONZALEZ
Radiology (Diagnostic Radiology)
2600 WESTHALL LN STE 4
MAITLAND, FL 32751
Orange County (407) 200-2355
MS. ALEXIS MARIE HARSTAD APRN
Nurse Practitioner (Family)
2600 WESTHALL LN STE 4
MAITLAND, FL 32751
Orange County (407) 200-2355
DIANBO ZHANG M.D.
Radiology (Vascular & Interventional Radiology)
2600 WESTHALL LN STE 4
MAITLAND, FL 32751
Orange County (407) 200-2355
DR. BHASKAR N/A GOLLA M.D.
Radiology (Diagnostic Radiology)
2600 WESTHALL LN STE 4
MAITLAND, FL 32751
Orange County (407) 200-2355
WELLS YANG MD
Radiology (Diagnostic Radiology)
2600 WESTHALL LN STE 4
MAITLAND, FL 32751
Orange County (407) 200-2355

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 2600 Westhall Ln Ste 4, Maitland, FL 32751. The listed phone number is (407) 200-2355.

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 October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.