KIMMBERLY J THIEL (PA) – Physician Assistant, NPI 1265938013
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for KIMMBERLY J THIEL (PA)
1364 CLIFTON RD NE FL BWING7
ATLANTA, GA 303221059
Phone: (404) 778-7777
Type: Location
3226, Convair Lane, Decatur, DeKalb County, Georgia, 30032, United States
DECATUR, GA 300322431
Phone:
Type: Mailing
595 CHAPEL HILLS DR STE 303A
COLORADO SPRINGS, CO 809201022
Phone: (719) 434-8810
Fax: (833) 903-3601
Type: Mailing
10350 E DAKOTA AVE
DENVER, CO 802471314
Phone: (303) 338-3800
Type: Mailing
3670 PARKER BLVD STE 200
PUEBLO, CO 810082285
Phone: (303) 338-4545
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: 2021-07-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210728001509 | I | Physician Assistant | CO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 49 | 24 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 38 | 19 | $0 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 34 | 15 | $0 |
Insurance plans in this area (ZIP 30322)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Physical Medicine And Rehabilitation | CO | |
| Family Practice | GA | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | WA | |
| Physician Assistant | CO | |
| Nurse Practitioner | SD | |
| Physician Assistant | CO | |
| Physician Assistant | AL | |
| Nurse Practitioner | CO |
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