KIMBERLY MARIE KUPHAL PA
NPI 1922536218
Physician Assistant - Surgical in Wausau, WI

Active since May 31, 2017PECOS EnrolledAccepts Medicare Assignment
84.55/100
CMS Quality Rating
425 PINE RIDGE BLVD STE 209, WAUSAU, WI 54401(715) 847-0400 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, May 31, 2017 (2 updates tracked since 2017).

About Kimberly Marie Kuphal Pa NPPES

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

KIMBERLY MARIE KUPHAL PA (NPI 1922536218) is an individual surgical provider in Wausau, Wisconsin, licensed in Wisconsin (1142574) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and maintains a secondary practice location in Wausau.

NPPES Registry Identity

NPI1922536218
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKIMBERLY MARIE KUPHALCredential: PA
Location Address425 PINE RIDGE BLVD STE 209Wausau, WI 54401-4123
Mailing Address425 Pine Ridge Blvd Ste 209Wausau, WI 54401-4123 · (715) 847-0400
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 31, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1922536218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in WI · 1142574
425 PINE RIDGE BLVD STE 209, Wausau, WI 54401

Secondary Practice Location 1

Location 1333 Pine Ridge BlvdWausau, WI 54401-4102 · Phone (715) 847-0400

Accepted 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 Marie Kuphal 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 ID1557634433
PECOS Enrollment IDI20170829003562
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 3

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.

Ultrasound scan of chest 76604
An ultrasound scan of the chest is a non-invasive imaging procedure that uses sound waves to create pictures of the structures within your chest, such as your heart and lungs. It's a safe, painless method that helps doctors diagnose and monitor various conditions.
32 services21 patients
Ultrasound scan of chest 76604
An ultrasound scan of the chest is a non-invasive imaging procedure that uses sound waves to create pictures of the structures within your chest, such as your heart and lungs. It's a safe, painless method that helps doctors diagnose and monitor various conditions.
13 services13 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Aspirus Riverview Hospital & Clinics Inc

Acute Care Hospitals · Wisconsin Rapids, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520033
Location410 Dewey StWisconsin Rapids, WI 54495 · Wood County
Emergency services

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.

84.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.81
Promoting Interoperability100
Improvement Activities40
Cost53.8

Other Providers at the Same Location NPPES 2

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
425 PINE RIDGE BLVD STE 209
WAUSAU, WI 54401
Thoracic Surgery (Cardiothoracic Vascular Surgery)
425 PINE RIDGE BLVD STE 209
WAUSAU, WI 54401

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 Kuphal's NPI number?

The NPI number for Kimberly Kuphal is 1922536218. It was assigned to this individual provider in the NPPES registry on May 31, 2017.

Where is Kimberly Kuphal located?

Kimberly Kuphal practices at 425 Pine Ridge Blvd Ste 209, Wausau, WI 54401. The listed phone number is (715) 847-0400.

What is Kimberly Kuphal's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kimberly Kuphal enrolled in Medicare?

Yes. Kimberly Kuphal 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 Kuphal accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and HealthPartners list Kimberly Kuphal 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.

Is Kimberly Kuphal affiliated with any hospitals?

According to CMS data, Kimberly Kuphal is affiliated with Aspirus Wausau Hospital and Aspirus Riverview Hospital & Clinics Inc.

When was this NPI record last updated?

The NPPES record for Kimberly Kuphal was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.