KIMBERLY JOY KINNEBREW (PA-C) – Medical Physician Assistant, NPI 1437186889
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for KIMBERLY JOY KINNEBREW (PA-C)
21137 SR 410 E STE I
BONNEY LAKE, WA 983918775
Phone: (253) 862-5275
Fax: (855) 673-1403
Type: Mailing
12350 INDUSTRY WAY STE 110
ANCHORAGE, AK 995154301
Phone: (907) 206-9114
Fax: (907) 206-7009
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 111 Open Payments records for all available years, with a total value of $1,869.
Total Amount is formed as General ($1,869) + Research ($0) + Ownership ($0) = $1,869.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($496).
Total Amount
$1,869
General + Research + Ownership
Payments
111
Total payment records
General Amount
$1,869
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $496 |
| Janssen Biotech, Inc. | $442 |
| ABBVIE INC. | $326 |
| E.R. Squibb & Sons, L.L.C. | $89 |
| Lilly USA, LLC | $78 |
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: 2004-03-16
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 |
|---|---|---|---|---|
| I20040316000214 | I | Physician Assistant | AK | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 197 | 48 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 88 | 59 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 73 | 73 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 60 | 42 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 51 | 51 | $0 |
Insurance plans in this area (ZIP 98391)
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Provider's Procedures
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