MRS. KIMBERLY LOUISE POWELL (PA-C) – Surgical Physician Assistant, NPI 1023336583

MRS. KIMBERLY LOUISE POWELL (PA-C) is a healthcare provider. based in Grosse pointe park, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601005713 (MI). The NPI Number for MRS. KIMBERLY LOUISE POWELL (PA-C) is 1023336583

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY LOUISE POWELL (PA-C)
NPI
1023336583
Phone
(508) 922-8064
Address
1382 BISHOP RD
Enumeration Date
8 May 2010
Last Update Date
17 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3134736900
Graduation Year
2009 (17 years ago)
PAC ID
3779765706
Group Practice PAC ID
7214299866
Professional Enrollment ID
I20140425000853
Address ID
MI482301507GR468XXRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience88
Completeness75
Years active:16State licenses:4Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for MRS. KIMBERLY LOUISE POWELL (PA-C)

  • 1382 BISHOP RD

    GROSSE POINTE PARK, MI 482301146

    Phone: (508) 922-8064

    Type: Mailing

  • 6071 W OUTER DR

    DETROIT, MI 482352624

    Phone: (313) 966-6870

    Type: Location

  • 80 SEYMOUR STREET

    HARTFORD HOSPITAL SURGERY DEPT

    HARTFORD, CT 061025037

    Phone: (860) 972-5022

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $181.

Total Amount is formed as General ($181) + Research ($0) + Ownership ($0) = $181.

Last reported payment date: 2023-05-17 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($141).

Total Amount

$181

General + Research + Ownership

Payments

3

Total payment records

General Amount

$181

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-17

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: 2014-04-25

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
I20140425000853IPhysician AssistantMITBD

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 minutes2120$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1414$0
99238Hospital discharge day management, 30 minutes or less1111$0
View full utilization report →

Insurance plans in this area (ZIP 48230)

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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: 7214299866View full group profile
NameSpecialtyState
-MI
Hematology/Oncology, Internal MedicineMI
P S Y C H I A T R YMI
-MI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
-MI

Reviews

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Frequently asked questions

Does MRS. KIMBERLY LOUISE POWELL (PA-C) have a public NPI I can cite?
Public records show MRS. KIMBERLY LOUISE POWELL (PA-C) under NPI 1023336583.
Is MRS. KIMBERLY LOUISE POWELL (PA-C)'s NPI status active today?
Active status means MRS. KIMBERLY LOUISE POWELL (PA-C)'s NPI record is not deactivated in the public file.
What services align with MRS. KIMBERLY LOUISE POWELL (PA-C)'s listing?
MRS. KIMBERLY LOUISE POWELL (PA-C)'s public classification highlights Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. KIMBERLY LOUISE POWELL (PA-C)?
MRS. KIMBERLY LOUISE POWELL (PA-C) is associated with Grosse Pointe Park, Michigan in the same public data insurers reference.
Who maintains MRS. KIMBERLY LOUISE POWELL (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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