KIMBERLY PRINZIVALLI RPAC
NPI 1912173774
Physician Assistant in Mineola, NY

Active since May 01, 2008PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
259 1ST ST, MINEOLA, NY 11501(516) 663-8312(516) 663-2184 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kimberly Prinzivalli Rpac NPPES

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

KIMBERLY PRINZIVALLI RPAC (NPI 1912173774) is an individual physician assistant in Mineola, New York, licensed in New York (06080) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (2001).

NPPES Registry Identity

NPI1912173774
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY PRINZIVALLICredential: RPAC
Location Address259 1ST STMineola, NY 11501-3957
Mailing Address700 Hicksville RdBethpage, NY 11714-3471
Fax(516) 663-2184
Sole ProprietorYes
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2001
Enumeration DateMay 1, 2008
NPI 1912173774 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 NY · 06080
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.
259 1ST ST, Mineola, NY 11501

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 Prinzivalli Rpac 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 ID6901082882
PECOS Enrollment IDI20110510000443
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11501 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Anesthesiology
259 1ST ST
MINEOLA, NY 11501
Physician Assistant (Medical)
259 1ST ST
MINEOLA, NY 11501
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Pediatrics (Neonatal-Perinatal Medicine)
259 1ST ST
MINEOLA, NY 11501
Anesthesiology
259 1ST ST
MINEOLA, NY 11501
Pediatrics (Pediatric Emergency Medicine)
259 1ST ST
MINEOLA, NY 11501

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 Prinzivalli's NPI number?

The NPI number for Kimberly Prinzivalli is 1912173774. It was assigned to this individual provider in the NPPES registry on May 1, 2008.

Where is Kimberly Prinzivalli located?

Kimberly Prinzivalli practices at 259 1st St, Mineola, NY 11501. The listed phone number is (516) 663-8312.

What is Kimberly Prinzivalli's specialty?

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

Is Kimberly Prinzivalli enrolled in Medicare?

Yes. Kimberly Prinzivalli 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.

When was this NPI record last updated?

The NPPES record for Kimberly Prinzivalli was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.