KIMBERLY ROBERTS-MITCHELL (PAC) – Physician Assistant, NPI 1275503989

KIMBERLY ROBERTS-MITCHELL (PAC) is a healthcare provider. based in Hutchinson, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. KS1500752 (KS). The NPI Number for KIMBERLY ROBERTS-MITCHELL (PAC) is 1275503989

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ROBERTS-MITCHELL (PAC)
NPI
1275503989
Phone
(620) 669-2500
Address
2101 NORTH WALDRON
Enumeration Date
25 January 2006
Last Update Date
26 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7207335260
Graduation Year
1997 (29 years ago)
PAC ID
7810968971
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20151102000468
Address ID
CO801047419CA4404XLNXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

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Provider Addresses for KIMBERLY ROBERTS-MITCHELL (PAC)

  • 2101, North Waldron Street, Hutchinson, Reno County, Kansas, 67502, United States

    HUTCHINSON, KS 67502

    Phone: (620) 669-2500

    Fax: (620) 728-0823

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,518.

Total Amount is formed as General ($1,518) + Research ($0) + Ownership ($0) = $1,518.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Boston Scientific Corporation ($875).

Total Amount

$1,518

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,518

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2015-11-02

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
I20151102000468IPhysician AssistantCOTBD

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 minutes421214$0
99213Established patient office or other outpatient visit, 20-29 minutes233162$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg13226$0
99215Established patient office or other outpatient visit, 40-54 minutes2624$0
20552Injection of trigger points, 1-2 muscles1717$0
View full utilization report →

Insurance plans in this area (ZIP 67502)

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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: 9638208549View full group profile

Reviews

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Frequently asked questions

How is KIMBERLY ROBERTS-MITCHELL (PAC) identified in CMS data?
CMS-hosted NPPES data lists KIMBERLY ROBERTS-MITCHELL (PAC) with NPI 1275503989.
Does the file indicate KIMBERLY ROBERTS-MITCHELL (PAC) is practicing under active NPI?
Directory data currently reports KIMBERLY ROBERTS-MITCHELL (PAC) as active.
What taxonomy line describes KIMBERLY ROBERTS-MITCHELL (PAC)?
For research purposes, treat KIMBERLY ROBERTS-MITCHELL (PAC) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does KIMBERLY ROBERTS-MITCHELL (PAC) serve?
KIMBERLY ROBERTS-MITCHELL (PAC)'s listing highlights Hutchinson, Kansas; more addresses can appear in NPPES.
Why does KIMBERLY ROBERTS-MITCHELL (PAC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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