CHRISTINE KIMBERLEE ADAMS (PA-C) – Surgical Physician Assistant, NPI 1134904915

CHRISTINE KIMBERLEE ADAMS (PA-C) is a healthcare provider. based in Salem, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for CHRISTINE KIMBERLEE ADAMS (PA-C) is 1134904915

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE KIMBERLEE ADAMS (PA-C)
NPI
1134904915
Phone
(503) 399-1386
Address
2485 12TH ST SE
Enumeration Date
29 August 2023
Last Update Date
17 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5033991386
Graduation Year
2023 (3 years ago)
PAC ID
9436504628
Group Practice PAC ID
0648516187
Professional Enrollment ID
I20231007000614
Address ID
OR973022151SA2485XSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:2State licenses:0Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for CHRISTINE KIMBERLEE ADAMS (PA-C)

  • 2485 12TH ST SE

    SALEM, OR 973022151

    Phone: (503) 399-1386

    Fax: (503) 399-1182

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-10-07

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
I20231007000614IPhysician AssistantORTBD

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 97302)

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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: 0648516187View full group profile
NameSpecialtyState
N E U R O S U R G E R YOR
N E U R O S U R G E R YAZ
-OR
Physician AssistantOR
N E U R O S U R G E R YOR
N E U R O S U R G E R YOR
Physician AssistantOR
N E U R O S U R G E R YNM

Reviews

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Frequently asked questions

What is the standard ID for CHRISTINE KIMBERLEE ADAMS (PA-C) in the U.S.?
In the U.S., CHRISTINE KIMBERLEE ADAMS (PA-C) is identified by NPI 1134904915.
Is CHRISTINE KIMBERLEE ADAMS (PA-C)'s NPI status active today?
Active status means CHRISTINE KIMBERLEE ADAMS (PA-C)'s NPI record is not deactivated in the public file.
What does the directory say CHRISTINE KIMBERLEE ADAMS (PA-C) does?
Insurance directories may phrase it differently, but here CHRISTINE KIMBERLEE ADAMS (PA-C) maps to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CHRISTINE KIMBERLEE ADAMS (PA-C)?
CHRISTINE KIMBERLEE ADAMS (PA-C) is associated with Salem, Oregon in the same public data insurers reference.
Can I export CHRISTINE KIMBERLEE ADAMS (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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