Individual provider Active NPI

Kimberly Hoover, RPA-C

  • Physician Assistant
  • Hornell, NY
National Provider Identifier
1235188178
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
011179 Issued in NY
Practice address
7309 Seneca Rd N Ste 112
Hornell, NY 14843-9691
Phone
(607) 590-2424
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 011179 NY Primary

Addresses

Primary practice location

7309 Seneca Rd N Ste 112
Hornell, NY 14843-9691

Mailing address

300 West Ave
Brockport, NY 14420-1118
Phone (585) 637-3905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060413000623 NY Practitioner - Physician Assistant 5698784932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Orchard Community Health Center, Inc.Group PAC ID 5496746927, 41 clinicians

Practice addresses (Care Compare)

300 W Ave
Brockport, NY 14420-1118
Phone (716) 637-3905

7309 Seneca Rd N
Suite 112
Hornell, NY 14843-9691
Phone (607) 590-2424

Hospital & facility affiliations

  • St James Hospital Hospital, Hornell, NY, CCN 330151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Orchard Community Health Center Inc. CurrentSince Oct 15, 2020 Accepting new patients
Oak Orchard Community Health Center Inc CurrentSince Oct 15, 2020 Accepting new patients

Locations

300 West Ave
Brockport, NY 14420
Phone (585) 637-3905

7309 Seneca Rd N
Ste 112
Hornell, NY 14843
Phone (607) 590-2424

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

Interoperability endpoints

  • Direct secure messaging: kimberly.hoover@oochc.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1235188178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201118",
            "telephone_number": "585-637-3905",
            "fax_number": "585-637-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7309 SENECA RD N STE 112",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148439691",
            "telephone_number": "607-590-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "KIMBERLY",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hornell, NY

Sources for this page

Verify at the official NPI Registry.