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KIMBERLY NELSON PA-C
NPI 1881039337
Physician Assistant in Glendale, AZ

Active since May 09, 2013PECOS EnrolledAccepts Medicare Assignment
86.33/100
CMS Quality Rating
6677 W THUNDERBIRD RD, SUITE I - 164, GLENDALE, AZ 85306(623) 878-2100(623) 776-9419 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Nelson Pa-c NPPES

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

KIMBERLY NELSON PA-C (NPI 1881039337) is an individual physician assistant in Glendale, Arizona, licensed in Arizona (5384) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1881039337
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY NELSONCredential: PA-C
Location Address6677 W THUNDERBIRD RD, SUITE I - 164Glendale, AZ 85306-3709
Mailing Address6677 W Thunderbird Rd, Suite I - 164Glendale, AZ 85306-3709 · (623) 878-2100 · Fax (623) 776-9419
Phone(623) 878-2100
Fax(623) 776-9419
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 9, 2013
Last NPPES UpdateMarch 11, 2020
NPPES CertifiedMarch 11, 2020
✔ NPI 1881039337 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 AZ · 5384
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.
6677 W THUNDERBIRD RD, Glendale, AZ 85306
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, 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 Nelson 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 ID6204074693
PECOS Enrollment IDI20130523000769
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
411 services157 patients
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.
330 services68 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
131 services128 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.
85 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85306 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.84
Promoting Interoperability99
Improvement Activities40
Cost53.11

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%1,689 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%133 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
24%451 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
81%451 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%451 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
3%451 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

NATASHA BOORD LMSW
Social Worker
6677 W THUNDERBIRD RD, SUITE I-164
GLENDALE, AZ 85306
Maricopa County (623) 878-2100
JESSICA ZEMAN D.O.
Internal Medicine (Critical Care Medicine)
6677 W THUNDERBIRD RD, BLDG E
GLENDALE, AZ 85306
Maricopa County (623) 815-7800
EYE PHYSICIANS & SURGEONS OF ARIZONA, PC
Ophthalmology
6677 W THUNDERBIRD RD, SUITE F 101
GLENDALE, AZ 85306
Maricopa County (623) 878-3939
DR. KIM PATEL O.D.
Optometrist
6677 W THUNDERBIRD RD, BLDG F SUITE 101
GLENDALE, AZ 85306
Maricopa County (623) 878-3939
ARIZONA SLEEP INSTITUTE LLC
Clinic/Center (Sleep Disorder Diagnostic)
6677 W THUNDERBIRD RD, BLDG E
GLENDALE, AZ 85306
Maricopa County (623) 776-8858
PATRICK TAFOYA MD
Family Medicine
6677 W THUNDERBIRD RD, STE A124
GLENDALE, AZ 85306
Maricopa County (623) 773-2266
TJ3, PLLC
Chiropractor
6677 W THUNDERBIRD RD, F104
GLENDALE, AZ 85306
Maricopa County (623) 979-8700
ADVANCED PODIATRIC SPECIALTY INC
Clinic/Center (Podiatric)
6677 W THUNDERBIRD RD, J171/172
GLENDALE, AZ 85306
Maricopa County (623) 977-6245

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 Nelson's NPI number?

The NPI number for Kimberly Nelson is 1881039337. It was assigned to this individual provider in the NPPES registry on May 9, 2013.

Where is Kimberly Nelson located?

Kimberly Nelson practices at 6677 W Thunderbird Rd Suite I - 164, Glendale, AZ 85306. The listed phone number is (623) 878-2100.

What is Kimberly Nelson's specialty?

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

Is Kimberly Nelson enrolled in Medicare?

Yes. Kimberly Nelson 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 Nelson accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Kimberly Nelson 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.

When was this NPI record last updated?

The NPPES record for Kimberly Nelson was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.