Kimberly Garduno, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA09211 Issued in TX

Practice address

601 Clara Barton Blvd Ste 100
Garland, TX 75042-5755

Phone

(972) 276-1779

Fax

(972) 276-5560

NPI assigned

Aug 12, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Wilkins Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Traditions Home Healthcare Home health agency, Plano, TX, CCN 747337
• Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.garduno@wellmed.eclinicaldirectplus.com
• Direct secure messaging: kimberly.garduno.1@17949.direct.athenahealth.com

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.

• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486
  Medicare reassignment Care Compare group NPD

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

• Methodist Hospitals of Dallas

  dba Methodist Richardson Medical Center

  • General Acute Care Hospital
  • Richardson, TX
  • NPI 1033165501
  Care Compare affiliation
• Traditions Care Team Inc

  • Home Health Agency
  • Plano, TX
  • NPI 1447653696
  Care Compare affiliation

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1245649516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CLARA BARTON BLVD STE 100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425755",
            "telephone_number": "972-276-1779",
            "fax_number": "972-276-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CLARA BARTON BLVD STE 100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425755",
            "telephone_number": "972-276-1779",
            "fax_number": "972-276-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDUNO",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2024-05-09",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "WILKINS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kara Ellen Gann, RD/LD
• Stephanie Renee Ganter, D.D.S., M.S.
• Ramon D Garcia, MD
• Vincent D Garcia, L.P.C.
• Heather Gardner
• Garland Accident & Recovery Clinic
• Garland ASC Services, P.a.
• Garland Assisted Living, LTD. (Hearthstone at Garland)
• Garland Autumn Leaves, LP
• Garland Cardiac Imaging (Prem S Pillay MD FACC)

• Physician Assistant in Garland, TX
• Providers in Garland, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.