KIM ELLEN ROYCROFT (PA) – Medical Physician Assistant, NPI 1093099491

KIM ELLEN ROYCROFT (PA) is a healthcare provider. based in Browns mills, New Jersey. specializing in Medical Physician Assistant. They hold the professional credentials PA. They hold a License No. C5-0011654 (DE). The NPI Number for KIM ELLEN ROYCROFT (PA) is 1093099491

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
KIM ELLEN ROYCROFT (PA)
NPI
1093099491
Phone
(609) 893-1200
Address
200 TRENTON RD
Enumeration Date
4 October 2011
Last Update Date
21 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6102859500
Graduation Year
2010 (16 years ago)
PAC ID
4981878220
Group Practice PAC ID
5991029712
Professional Enrollment ID
I20170719000483
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for KIM ELLEN ROYCROFT (PA)

  • 200 TRENTON RD

    BROWNS MILLS, NJ 080151705

    Phone: (609) 893-1200

    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 1 Open Payments records for all available years, with a total value of $106.

Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.

Last reported payment date: 2024-05-16 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($106).

Total Amount

$106

General + Research + Ownership

Payments

1

Total payment records

General Amount

$106

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-16

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: 2021-12-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20111122000518IPhysician AssistantNJTBD
I20170719000483IPhysician AssistantPATBD
I20211229000940IPhysician AssistantDETBD

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
99213Established patient office or other outpatient visit, 20-29 minutes195193$0
99203New patient office or other outpatient visit, 30-44 minutes156156$0
81003Automated urinalysis test6562$0
99214Established patient office or other outpatient visit, 30-39 minutes4242$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)3434$0
View full utilization report →

Insurance plans in this area (ZIP 08015)

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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: 5991029712View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeCA
-PA
Emergency MedicinePA
Family PracticeNJ
Physician AssistantIL
Physician AssistantPA
Family PracticePA
Physician AssistantPA
Physician AssistantPA
Physician AssistantPA

Reviews

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Frequently asked questions

What number should I use to identify KIM ELLEN ROYCROFT (PA) for billing?
Administrative and clinical systems typically use NPI 1093099491 for KIM ELLEN ROYCROFT (PA).
Is KIM ELLEN ROYCROFT (PA) currently accepting referrals based on NPI status?
Registry metadata lists KIM ELLEN ROYCROFT (PA) as active.
How should patients interpret KIM ELLEN ROYCROFT (PA)'s specialty?
The extract shows Medical Physician Assistant for KIM ELLEN ROYCROFT (PA). Clinical services aligned with this taxonomy classification.
What geographic area is tied to KIM ELLEN ROYCROFT (PA)?
KIM ELLEN ROYCROFT (PA) is associated with Browns Mills, New Jersey in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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