KIMBERLY M WINIARCZYK (PA) – Physician Assistant, NPI 1629454376

KIMBERLY M WINIARCZYK (PA) is a healthcare provider. based in Marlton, New Jersey. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. MA057672 (PA). The NPI Number for KIMBERLY M WINIARCZYK (PA) is 1629454376

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY M WINIARCZYK (PA)
NPI
1629454376
Phone
(609) 267-9400
Address
4 EVES DR STE 100A
Enumeration Date
5 August 2015
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6092679400
Graduation Year
2015 (11 years ago)
PAC ID
7618283367
Group Practice PAC ID
4183726144
Professional Enrollment ID
I20151111001766
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for KIMBERLY M WINIARCZYK (PA)

  • 4 EVES DR STE 100A

    MARLTON, NJ 080533195

    Phone: (609) 267-9400

    Fax: (609) 267-9457

    Type: Mailing

  • 401 YOUNG AVE STE 245

    MOORESTOWN, NJ 080573132

    Phone: (609) 267-9400

    Fax: (609) 267-9457

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $79.

Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Skeletal Dynamics Inc ($59).

Total Amount

$79

General + Research + Ownership

Payments

2

Total payment records

General Amount

$79

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

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: 2015-11-11

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
I20151111001766IPhysician AssistantNJTBD

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
27447Replacement of knee joint, both sides of knee2929$0
99213Established patient office or other outpatient visit, 20-29 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 08053)

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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: 4183726144View full group profile

Reviews

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Frequently asked questions

What is the standard ID for KIMBERLY M WINIARCZYK (PA) in the U.S.?
In the U.S., KIMBERLY M WINIARCZYK (PA) is identified by NPI 1629454376.
Should I treat KIMBERLY M WINIARCZYK (PA) as an active provider?
Patients and plans typically see KIMBERLY M WINIARCZYK (PA) as active in the national extract.
What type of care does KIMBERLY M WINIARCZYK (PA) provide?
KIMBERLY M WINIARCZYK (PA)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to KIMBERLY M WINIARCZYK (PA)?
The directory associates KIMBERLY M WINIARCZYK (PA) with Marlton, New Jersey. Check all listed addresses for suites or satellite offices.
Can I export KIMBERLY M WINIARCZYK (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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