KIMBERLY J LASHWAY (PA-C) – Physician Assistant, NPI 1235118662

KIMBERLY J LASHWAY (PA-C) is a healthcare provider. based in Carbondale, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085002564 (IL). The NPI Number for KIMBERLY J LASHWAY (PA-C) is 1235118662

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY J LASHWAY (PA-C)
NPI
1235118662
Phone
(618) 457-5200
Address
1239 E MAIN ST
Enumeration Date
13 January 2006
Last Update Date
10 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6183726040
Graduation Year
2005 (21 years ago)
PAC ID
9830110337
Group Practice PAC ID
9830562016
Professional Enrollment ID
I20051213000104
Address ID
IL628962209WE909XXSTXX400

Contacts

Secure Messaging
klashway21748@sih.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for KIMBERLY J LASHWAY (PA-C)

  • 1239, East Main Street, Carbondale, Jackson County, Illinois, 62901, United States

    PO BOX 3988

    CARBONDALE, IL 62901

    Phone: (618) 457-5200

    Type: Mailing

  • Outer Drive, Marion, Williamson County, Illinois, 62959, United States

    MARION, IL 62959

    Phone: (844) 988-7900

    Fax: (618) 993-3908

    Type: Location

  • 200 CLINT HILL BLVD

    PADUCAH, KY 420016768

    Phone: (270) 442-9461

    Fax: (270) 441-0079

    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: 2023-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20051213000104IPhysician AssistantILTBD
I20230109001671IPhysician AssistantKYTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,206127$0
99213Established patient office or other outpatient visit, 20-29 minutes303231$0
20610Aspiration and/or injection of fluid from large joint250129$0
73502X-ray of hip, 2-3 views130106$0
73564X-ray of knee, 4 or more views11196$0
View full utilization report →

Insurance plans in this area (ZIP 62901)

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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: 9830562016View full group profile
NameSpecialtyState
Hospitalist, Family PracticeIL
Internal Medicine, HospitalistIL
Pulmonary DiseaseNM
Family Practice, Internal MedicineIL
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerIL
H E M A T O L O G Y/ O N C O L O G YIL
H O S P I T A L I S TMO
Neurology, Critical Care (Intensivists)IN

Reviews

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Frequently asked questions

How is KIMBERLY J LASHWAY (PA-C) identified in CMS data?
CMS-hosted NPPES data lists KIMBERLY J LASHWAY (PA-C) with NPI 1235118662.
Does the file indicate KIMBERLY J LASHWAY (PA-C) is practicing under active NPI?
Directory data currently reports KIMBERLY J LASHWAY (PA-C) as active.
What is KIMBERLY J LASHWAY (PA-C)'s primary classification?
Physician Assistant is the headline specialty for KIMBERLY J LASHWAY (PA-C) here. Clinical services aligned with this taxonomy classification.
Does KIMBERLY J LASHWAY (PA-C) list a practice location?
Patients near Carbondale, Illinois may find KIMBERLY J LASHWAY (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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