Kimberly Ann Doppelt, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

901 Lakeshore Dr # 108
Ishpeming, MI 49849-1367

Phone

(906) 485-2747

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

Yes

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.

• Bell Physician Practices Inc

  • Family Medicine Physician
  • Ishpeming, MI
  • NPI 1578992491

  MI

  Medicare reassignment
• Bell Physician Practices Inc

  • Rural Health Clinic/Center
  • Ishpeming, MI
  • NPI 1114726676
  NPD
• Bell Medical Center

  • Multi-Specialty Clinic/Center
  • Ishpeming, MI
  • NPI 1477664837
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.doppelt.1@8233.direct.athenahealth.com

• Kimberly Keller Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 16, 2025.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1245309996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 LAKESHORE DR # 108",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498491367",
            "telephone_number": "906-485-2747",
            "fax_number": "906-485-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LAKESHORE DR # 108",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498491367",
            "telephone_number": "906-485-2747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5530 Wisconsin Ave",
            "address_2": "Suite 1660",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208154404",
            "country_code": "US",
            "telephone_number": "301-657-9876",
            "fax_number": "301-657-8240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOPPELT",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KELLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Ishpeming, MI
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.