Individual provider Active NPI

Kimberly Pierce, PA-C

  • Medical Physician Assistant
  • Spartanburg, SC
National Provider Identifier
1255721395
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4626 Issued in SC
Practice address
151 Harold Fleming CT
Spartanburg, SC 29303-4225
Phone
(864) 573-6320
Fax
(864) 208-0352
NPI assigned
Jan 28, 2015
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA057389 PA
Medical Physician Assistant 363AM0700X 4626 SC Primary

Addresses

Primary practice location

151 Harold Fleming CT
Spartanburg, SC 29303-4225

Mailing address

151 Harold Fleming CT
Spartanburg, SC 29303-4225
Phone (864) 573-6320

Other practice location 1

531 Maple Ave
West Chester, PA 19380-4416
Phone (610) 692-4382

Other practice location 2

1265 Wayne Ave Ste 306
Indiana, PA 15701-3501
Phone (724) 463-9701

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.pierce@irmc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20230519002882 SC Practitioner - Physician Assistant 2668783143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

151 Harold Fleming Court
Spartanburg, SC 29303-4225

151 Harold Fleming CT
Spartanburg, SC 29303-4225
Phone (864) 573-6320

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.73 of 100Reported as group
Quality
93.28
Promoting interoperability
100
Improvement activities
40
Cost
72.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4626SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Lung and Critical Care Specialists PC CurrentSince May 1, 2023 Accepting new patients
Upstate Lung and Critical Care Specialists, PC CurrentSince May 1, 2023 Accepting new patients
Brandywine Internal Medicine, LLC Past Accepting new patients

Locations

151 Harold Fleming Ct
Spartanburg, SC 29303
Phone 8645736320219

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16459/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kimberly.pierce.1@16459.direct.athenahealth.com
  • Direct secure messaging: kimberly.pierce@irmc.cernerdirect.com

Organizations & group practices 3

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

Hospital & facility affiliations 4

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": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1255721395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 HAROLD FLEMING CT",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034225",
            "telephone_number": "864-573-6320",
            "fax_number": "864-573-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 HAROLD FLEMING CT",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034225",
            "telephone_number": "864-573-6320",
            "fax_number": "864-208-0352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "531 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193804416",
            "country_code": "US",
            "telephone_number": "610-692-4382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1265 Wayne Ave Ste 306",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157013501",
            "country_code": "US",
            "telephone_number": "724-463-9701",
            "fax_number": "724-463-9702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "KIMBERLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057389",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "4626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.pierce@irmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Millennium Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging",
            "address_1": "1265 Wayne Ave Ste 306",
            "city": "Indiana",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157013501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.