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KIMBERLY GURDY INNOCENT PA
NPI 1922518786
Physician Assistant in Jamaica, NY

Active since October 06, 2017PECOS EnrolledAccepts Medicare Assignment
8268 164TH ST, JAMAICA, NY 11432(718) 883-3070(718) 883-6115 Get Directions Write a Review

NPPES record last updated: October 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly Gurdy Innocent Pa NPPES

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

KIMBERLY GURDY INNOCENT PA (NPI 1922518786) is an individual physician assistant in Jamaica, New York, licensed in New York (021458) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1922518786
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY GURDY INNOCENTCredential: PA
Location Address8268 164TH STJamaica, NY 11432-1121
Mailing Address8268 164th StJamaica, NY 11432-1121 · (718) 883-3070 · Fax (718) 883-6115
Phone(718) 883-3070
Fax(718) 883-6115
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 6, 2017
✔ NPI 1922518786 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 · 021458
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.
8268 164TH ST, Jamaica, NY 11432
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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 Gurdy Innocent 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 ID7012274301
PECOS Enrollment IDI20200225002057, I20221226000201
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 5

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.

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.
33 services33 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.
27 services24 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
16 services16 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.
14 services14 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11432 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

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.

MRS. NGA HOANG NGUYEN PHARMACIST
Pharmacist
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3889
SHEILA A KERN PA-C
Physician Assistant (Medical)
8268 164TH ST, ROOM A531
JAMAICA, NY 11432
Queens County (718) 883-4133
WHITNEY WU LCSW
Social Worker
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3573
KANWAL RASHID MD
Student in an Organized Health Care Education/Training Program
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-4583
MOAZAMA SHAKEEL AHMED
Student in an Organized Health Care Education/Training Program
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-4583
DR. ANURITA CHATTERJEE MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225
MS. SUZANNE J FORRESTER-LOWE PA
Physician Assistant
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225
DR. GLENNA B RUBIN PSYD
Psychologist (Clinical Child & Adolescent)
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225

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 Innocent's NPI number?

The NPI number for Kimberly Innocent is 1922518786. It was assigned to this individual provider in the NPPES registry on October 6, 2017.

Where is Kimberly Innocent located?

Kimberly Innocent practices at 8268 164th St, Jamaica, NY 11432. The listed phone number is (718) 883-3070.

What is Kimberly Innocent's specialty?

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

Is Kimberly Innocent enrolled in Medicare?

Yes. Kimberly Innocent 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 Innocent affiliated with any hospitals?

According to CMS data, Kimberly Innocent is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Innocent was last updated on October 6, 2017. 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.