KIMBERLY JOY WAKS (PA) – Physician Assistant, NPI 1235603259
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
Provider Addresses for KIMBERLY JOY WAKS (PA)
124 CALEDON CT APT 12
STEPHENS CITY, VA 226553547
Phone:
Type: Mailing
100 Retreat Ave Ste 900
Hartford, CT 061062553
Phone: (860) 218-2245
Type: Location
124 Caledon Ct Apt 12
Stephens City, VA 226553547
Phone: (516) 306-2353
Type: Location
2800 MAIN STREET
BRIDGEPORT, CT 06606
Phone: (203) 382-2350
Fax: (475) 210-3025
Type: Mailing
1121 TOWN COLONY DR BLDG 19
MIDDLETOWN, CT 064575923
Phone: (516) 306-2353
Type: Mailing
270 FARMINGTON AVE STE 309
FARMINGTON, CT 060321953
Phone: (860) 677-9570
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $137.
Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.
Last reported payment date: 2023-12-12 • Largest payer in this snapshot: Medtronic, Inc. ($137).
Total Amount
$137
General + Research + Ownership
Payments
1
Total payment records
General Amount
$137
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $137 |
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: 2022-05-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220503002592 | I | Physician Assistant | CT | TBD |
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.
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 22655)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | NY | |
| Physician Assistant | CT | |
| Internal Medicine, Hospitalist | TN | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| N E U R O L O G Y | CT | |
| Physician Assistant | CT | |
| Internal Medicine | CT | |
| - | CT | |
| - | CT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.