KIMBERLY SUNDIE (PA-C) – Medical Physician Assistant, NPI 1134598998

KIMBERLY SUNDIE (PA-C) is a healthcare provider. based in Butler, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA051441 (PA). The NPI Number for KIMBERLY SUNDIE (PA-C) is 1134598998

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY SUNDIE (PA-C)
NPI
1134598998
Phone
(724) 284-5670
Address
PO BOX 1549
Enumeration Date
22 September 2015
Last Update Date
22 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8339950118
Graduation Year
2003 (23 years ago)
PAC ID
8729034186
Group Practice PAC ID
7416840160
Professional Enrollment ID
I20050330000931
Address ID
PA160012251BU127XXRDXX401
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

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for KIMBERLY SUNDIE (PA-C)

  • PO BOX 1549

    BUTLER, PA 160031549

    Phone: (724) 284-5670

    Fax: (724) 284-4144

    Type: Mailing

  • 127 ONEIDA VALLEY RD

    SUITE 400

    BUTLER, PA 160012239

    Phone: (724) 284-5670

    Fax: (724) 284-4144

    Type: Location

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: 2005-03-30

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
I20050330000931IPhysician AssistantPATBD

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 16003)

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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: 7416840160View full group profile

Reviews

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Frequently asked questions

Is there an official ID for KIMBERLY SUNDIE (PA-C) in U.S. healthcare records?
The official identifier for KIMBERLY SUNDIE (PA-C) is NPI 1134598998.
Is KIMBERLY SUNDIE (PA-C) still an active registrant?
KIMBERLY SUNDIE (PA-C) carries an active NPI according to the public dataset.
What kind of doctor is KIMBERLY SUNDIE (PA-C)?
KIMBERLY SUNDIE (PA-C) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is KIMBERLY SUNDIE (PA-C) registered?
Use Butler, Pennsylvania as the headline location for KIMBERLY SUNDIE (PA-C) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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