KIMBERLY RAE DURAN (PAC) – Physician Assistant, NPI 1144324336

KIMBERLY RAE DURAN (PAC) is a healthcare provider. based in Sacramento, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA15500 (CA). The NPI Number for KIMBERLY RAE DURAN (PAC) is 1144324336

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY RAE DURAN (PAC)
NPI
1144324336
Phone
(916) 779-1160
Address
87 SCRIPPS DRIVE
Enumeration Date
11 September 2006
Last Update Date
3 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2094762000
Graduation Year
2000 (26 years ago)
PAC ID
1052418209
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20070522000716
Address ID
CA952103377ST7373XLANE300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for KIMBERLY RAE DURAN (PAC)

  • Scripps Drive, Sacramento, Sacramento County, California, 95819-6055, United States

    SUITE 310

    SACRAMENTO, CA 958256318

    Phone: (916) 779-1160

    Fax: (916) 779-1166

    Type: Mailing

  • 87 SCRIPPS DR

    SUITE 310

    SACRAMENTO, CA 958256372

    Phone: (916) 779-1160

    Fax: (916) 779-1166

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-05-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070522000716IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95825)

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Provider's Procedures

KIMBERLY RAE DURAN (PAC) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTCA81002Urinalysis, manual test1111

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

Is there an official ID for KIMBERLY RAE DURAN (PAC) in U.S. healthcare records?
The official identifier for KIMBERLY RAE DURAN (PAC) is NPI 1144324336.
Would KIMBERLY RAE DURAN (PAC) appear as active to a payer?
You can treat KIMBERLY RAE DURAN (PAC) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe KIMBERLY RAE DURAN (PAC)'s focus?
For KIMBERLY RAE DURAN (PAC), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in California is KIMBERLY RAE DURAN (PAC) registered?
Use Sacramento, California as the headline location for KIMBERLY RAE DURAN (PAC) here.
When was this NPI issued?
Enumeration for KIMBERLY RAE DURAN (PAC) is noted as September 11, 2006 where the registry provides it.

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