KIMBERLY NELSON (PA) – Physician Assistant, NPI 1831478221

KIMBERLY NELSON (PA) is a healthcare provider. based in Aventura, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. EL31922 (NH). The NPI Number for KIMBERLY NELSON (PA) is 1831478221

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY NELSON (PA)
NPI
1831478221
Phone
(305) 918-7050
Address
21110 BISCAYNE BLVD
Enumeration Date
16 August 2011
Last Update Date
30 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4154761000
Graduation Year
2011 (15 years ago)
PAC ID
3779706619
Group Practice PAC ID
7719886373
Professional Enrollment ID
I20250416003365
Address ID
CA941432204SA505XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience88
Completeness85
Years active:14State licenses:5Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for KIMBERLY NELSON (PA)

  • 21110 BISCAYNE BLVD

    STE 400

    AVENTURA, FL 331801227

    Phone: (305) 918-7050

    Fax: (305) 918-7051

    Type: Location

  • 1825 4TH ST

    SAN FRANCISCO, CA 941432350

    Phone: (415) 885-7528

    Type: Location

  • 3303 S Bond Ave

    Portland, OR 972394501

    Phone: (503) 494-6594

    Fax: (503) 494-5385

    Type: Location

  • 1 Medical Center Dr

    Lebanon, NH 037560001

    Phone: (603) 650-5000

    Type: Location

  • 21110 Biscayne Blvd

    Ste 400

    Aventura, FL 331801227

    Phone: (305) 918-7050

    Fax: (305) 918-7051

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $9,301.

Total Amount is formed as General ($9,301) + Research ($0) + Ownership ($0) = $9,301.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($9,046).

Total Amount

$9,301

General + Research + Ownership

Payments

35

Total payment records

General Amount

$9,301

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2025-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20180515003091IPhysician AssistantSDTBD
I20250103002233IPhysician AssistantNHTBD
I20250416003365IPhysician 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8857$0
99213Established patient office or other outpatient visit, 20-29 minutes7060$0
View full utilization report →

Insurance plans in this area (ZIP 33180)

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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: 7719886373View full group profile
NameSpecialtyState
General SurgeryCA
General SurgeryMD
Nurse PractitionerCA
Vascular SurgeryCA
Nurse PractitionerCA
General SurgeryCA
P O D I A T R YCA
Plastic And Reconstructive SurgeryPA
Colorectal Surgery (Proctology), General SurgeryCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KIMBERLY NELSON (PA)?
KIMBERLY NELSON (PA) — NPI 1831478221 — is the standard way to identify this listing.
Is KIMBERLY NELSON (PA) listed as active for patients and plans?
The listing shows KIMBERLY NELSON (PA) as active in the NPI system.
What is KIMBERLY NELSON (PA)'s primary classification?
Physician Assistant is the headline specialty for KIMBERLY NELSON (PA) here. Clinical services aligned with this taxonomy classification.
Does KIMBERLY NELSON (PA) list a practice location?
Patients near Aventura, Florida may find KIMBERLY NELSON (PA) in results; validate coverage separately.
Why does KIMBERLY NELSON (PA) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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