KIMBERLY ANNE ELROD (P.A.) – Medical Physician Assistant, NPI 1447436316

KIMBERLY ANNE ELROD (P.A.) is a healthcare provider. based in Mcalester, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA1694 (OK). The NPI Number for KIMBERLY ANNE ELROD (P.A.) is 1447436316

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ANNE ELROD (P.A.)
NPI
1447436316
Phone
(918) 421-6961
Address
3 E CLARK BASS BLVD
Enumeration Date
10 January 2008
Last Update Date
25 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184262442212
Graduation Year
2007 (19 years ago)
PAC ID
6406920651
Group Practice PAC ID
1456455575
Professional Enrollment ID
I20080806000062
Address ID
OK745017606MC3101XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

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Provider Addresses for KIMBERLY ANNE ELROD (P.A.)

  • 3, Clark Bass Boulevard, McAlester, Pittsburg County, Oklahoma, 74501, United States

    SUITE #2

    MCALESTER, OK 745014283

    Phone: (918) 421-6961

    Fax: (918) 421-6963

    Type: Mailing

  • PO BOX 1992

    MCALESTER, OK 745021992

    Phone: (918) 426-2442

    Fax: (918) 426-0888

    Type: Mailing

  • 3101 ELK DR

    MCALESTER, OK 745017606

    Phone: (918) 426-2442

    Fax: (918) 421-6963

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $120.

Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.

Last reported payment date: 2024-03-27 • Largest payer in this snapshot: ABBVIE INC. ($35).

Total Amount

$120

General + Research + Ownership

Payments

7

Total payment records

General Amount

$120

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-27

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: 2008-08-06

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
I20080806000062IPhysician AssistantOKTBD

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 74501)

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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: 1456455575View full group profile
NameSpecialtyState
Physician AssistantOK
Emergency MedicineOK
-OK
Nurse PractitionerOK
Nurse PractitionerOK
Physician AssistantOK
Family PracticeCA
Nurse PractitionerOK
Physician AssistantOK
Mental Health CounselorOK

Reviews

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Frequently asked questions

How is KIMBERLY ANNE ELROD (P.A.) identified in CMS data?
CMS-hosted NPPES data lists KIMBERLY ANNE ELROD (P.A.) with NPI 1447436316.
Is KIMBERLY ANNE ELROD (P.A.) still practicing?
KIMBERLY ANNE ELROD (P.A.) is currently listed as active in the public NPI registry.
What is KIMBERLY ANNE ELROD (P.A.)'s specialty?
The listing groups KIMBERLY ANNE ELROD (P.A.) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is KIMBERLY ANNE ELROD (P.A.) based?
KIMBERLY ANNE ELROD (P.A.) is tied to Mcalester, Oklahoma in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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