MS. KIMBERLY G CUNNINGHAM (PA-C) – Physician Assistant, NPI 1558349431

MS. KIMBERLY G CUNNINGHAM (PA-C) is a healthcare provider. based in Rochester, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9379 (MN). The NPI Number for MS. KIMBERLY G CUNNINGHAM (PA-C) is 1558349431

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MS. KIMBERLY G CUNNINGHAM (PA-C)
NPI
1558349431
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
3 January 2006
Last Update Date
25 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206825225
Graduation Year
1997 (29 years ago)
PAC ID
5991854085
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20090520000225
Address ID
MN553021109AN440XXEXXX400

Contacts

Secure Messaging
jpoulsen314056@direct.allinahealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,032 PHYSICIAN ASSISTANT in MN

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Provider Addresses for MS. KIMBERLY G CUNNINGHAM (PA-C)

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Location

  • 11850 BLACKFOOT ST NW STE 130

    COON RAPIDS, MN 554332583

    Phone: (763) 236-9000

    Type: Location

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-9000

    Type: Mailing

  • 2855 CAMPUS DR

    PLYMOUTH, MN 554412649

    Phone: (763) 577-7160

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $841.

Total Amount is formed as General ($841) + Research ($0) + Ownership ($0) = $841.

Last reported payment date: 2024-05-14 • Largest payer in this snapshot: Getinge USA Sales, LLC ($596).

Total Amount

$841

General + Research + Ownership

Payments

14

Total payment records

General Amount

$841

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-14

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: 2022-06-30

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
I20090520000225IPhysician AssistantMNTBD
I20220630001422IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55905)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

How do I look up MS. KIMBERLY G CUNNINGHAM (PA-C) by NPI?
Use NPI 1558349431 when you need to reference MS. KIMBERLY G CUNNINGHAM (PA-C) in forms, claims, or directories.
Is MS. KIMBERLY G CUNNINGHAM (PA-C) currently active in the NPI registry?
CMS-published data lists MS. KIMBERLY G CUNNINGHAM (PA-C) as an active registrant.
What kind of provider is MS. KIMBERLY G CUNNINGHAM (PA-C)?
The page reflects Physician Assistant for MS. KIMBERLY G CUNNINGHAM (PA-C). Clinical services aligned with this taxonomy classification.
Where is MS. KIMBERLY G CUNNINGHAM (PA-C)'s primary listing?
We display Rochester, Minnesota because that is what the record indicates for MS. KIMBERLY G CUNNINGHAM (PA-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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