MRS. KIMBERLY E FORTIER (PA-C) – Medical Physician Assistant, NPI 1407044027

MRS. KIMBERLY E FORTIER (PA-C) is a healthcare provider. based in Pensacola, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9110538 (FL). The NPI Number for MRS. KIMBERLY E FORTIER (PA-C) is 1407044027

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY E FORTIER (PA-C)
NPI
1407044027
Phone
(850) 437-8810
Address
1717 N E ST STE 205
Enumeration Date
9 October 2007
Last Update Date
9 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
6901988450
Group Practice PAC ID
9638215734
Professional Enrollment ID
I20170922000415
Address ID
FL325032254PE125XXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:18State licenses:2Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MRS. KIMBERLY E FORTIER (PA-C)

  • 1717 N E ST STE 205

    PENSACOLA, FL 325016336

    Phone: (850) 437-8810

    Type: Location

  • 4105, Hospital Street, Pascagoula, Jackson County, Mississippi, 39567, United States

    SUITE 112B

    PASCAGOULA, MS 395815312

    Phone: (228) 938-0700

    Fax: (228) 938-0700

    Type: Location

  • PO BOX 17567

    PENSACOLA, FL 325227567

    Phone: (850) 437-8810

    Type: Mailing

  • PO BOX 95590

    SOUTH JORDAN, UT 840950590

    Phone:

    Type: Mailing

  • 125 BAPTIST WAY STE 5C

    PENSACOLA, FL 325032274

    Phone: (448) 227-6820

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $495.

Total Amount is formed as General ($495) + Research ($0) + Ownership ($0) = $495.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: KCI USA, Inc. ($157).

Total Amount

$495

General + Research + Ownership

Payments

6

Total payment records

General Amount

$495

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-09-22

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
I20170922000415IPhysician AssistantFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8751$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2422$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2214$0
99238Hospital discharge day management, 30 minutes or less1313$0
View full utilization report →

Insurance plans in this area (ZIP 32501)

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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: 9638215734View full group profile

Reviews

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Frequently asked questions

Can I verify MRS. KIMBERLY E FORTIER (PA-C) with an NPI only?
You can start verification with NPI 1407044027 for MRS. KIMBERLY E FORTIER (PA-C), then check state licensing separately.
Can I rely on MRS. KIMBERLY E FORTIER (PA-C) being an active provider?
As of the registry snapshot, MRS. KIMBERLY E FORTIER (PA-C) is marked active.
What is MRS. KIMBERLY E FORTIER (PA-C)'s primary classification?
Medical Physician Assistant is the headline specialty for MRS. KIMBERLY E FORTIER (PA-C) here. Clinical services aligned with this taxonomy classification.
Does MRS. KIMBERLY E FORTIER (PA-C) list a practice location?
Patients near Pensacola, Florida may find MRS. KIMBERLY E FORTIER (PA-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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