KATHERINE D CLINKENBEARD PA-C
NPI 1962010298
Physician Assistant in Phoenix, AZ

Q: What is Katherine Clinkenbeard's NPI number?

The NPI number for Katherine Clinkenbeard is 1962010298. It was assigned to this individual provider in the NPPES registry on July 22, 2020. The provider is also known as Katherine A Dulin PA.

Q: What is Katherine Clinkenbeard's specialty?

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

Active since July 22, 2020PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0016(602) 933-4318 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 24, 2021, Jul 22, 2020 (2 updates tracked since 2020).

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About Katherine D Clinkenbeard Pa-c NPPES

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

KATHERINE D CLINKENBEARD PA-C (NPI 1962010298) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (7985) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Scottsdale.

NPPES Registry Identity

NPI1962010298

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKATHERINE D CLINKENBEARDCredential: PA-C

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1813

Phone(602) 933-0016

Fax(602) 933-4318

Sole ProprietorYes

Enumeration DateJuly 22, 2020

Last NPPES UpdateJune 24, 20212 updates tracked since enumeration

NPPES CertifiedJune 24, 2021

✔ NPI 1962010298 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 · 7985

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.

1919 E THOMAS RD, Phoenix, AZ 85016

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Other Names 1

Former Name (1)Katherine A Dulin Pa

Secondary Practice Location 1

Location 16633 E Greenway Pkwy Apt 2045Scottsdale, AZ 85254-2036 · Phone (303) 547-0012

Other Identifiers 1

Medicaid086583AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine D Clinkenbeard Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 85016 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.

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.

DR. TIMUR RAGHIB M.D.

Hospitalist