Kimberly Kaminsky, PA-C
Individual provider Active NPI Physician Assistant · Scranton, PA
NPI 1285001990 · NPPES record last updated Aug 31, 2020
Key facts
- NPI
- 1285001990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- MA057887 (PA)
- Practice address
- 3 W Olive St
Scranton, PA 18508-2572 - Phone
- (570) 207-4054
- Fax
- (570) 207-4057
- NPI assigned
- Aug 28, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Geisinger Clinic
Practice addresses (Care Compare)
100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144
3 W Olive St
Scranton, PA 18508-2572
Phone (570) 207-5970
42 N Main St
Pittston, PA 18640-1916
Phone (570) 654-0880
5 Lakeview Dr
Moosic, PA 18507-2108
Phone (570) 558-2180
631 Northern Blvd
South Abington Township, PA 18411-9025
Phone (570) 587-2290
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151201000353 | PA | Practitioner - Physician Assistant | 3870893654 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Physician Assistant | Current |
Accepting new patients |
| Geisinger-HM Joint Venture, LLC | Current |
Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Physician Assistant | Current |
Accepting new patients |
| Geisinger Clinic | Past | Accepting new patients |
Locations
174 Buckaroo Ln
Bellefonte, PA 16823
Phone (814) 353-1030
226 Buckaroo Ln
Bellefonte, PA 16823
Phone (814) 353-1030
65 Briar Creek Plz
Berwick, PA 18603
Phone (570) 802-5590
425 E 1st St
Bloomsburg, PA 17815
Phone (570) 387-2474
224 N Logan Blvd
Burnham, PA 17009
Phone (717) 242-0196
114 Lt Michael Cleary Dr
Dallas, PA 18612
Phone (570) 255-1178
100 N Academy Ave
Danville, PA 17822
560 Pierce St
Kingston, PA 18704
Phone (570) 283-2161
68 Spring St
Lock Haven, PA 17745
Phone (570) 263-5830
10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566
128 E Main St
Nanticoke, PA 18634
Phone (570) 258-1304
42 N Main St
Pittston, PA 18640
Phone (570) 602-5610
3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054
1630 N Atherton St
State College, PA 16803
Phone (814) 238-1279
809 Hunter Hwy
Tunkhannock, PA 18657
Phone (570) 966-2700
10 Trieble Dr
Tunkhannock, PA 18657
Phone (570) 836-2273
35 S Mountain Blvd
Wilkes Barre, PA 18707
Phone (570) 474-5072
1824 E 3rd St
Williamsport, PA 17701
Phone (570) 322-4422
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Physician Assistant | 363A00000X | MA057887 | PA | Yes |
Addresses
Primary practice location
3 W Olive St
Scranton, PA 18508-2572
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kkaminsky128647@direct.geisinger.edu | Direct |
Other providers in Scranton, PA
- Deepika Rao Kalisetti
- Mohamed Kamara
- Maria Kamel
- David Kaminski
- Jarrett Daniel Kaminsky
- Michael Thomas Kane
- Mark Kania
- Venu Gopal Kankani
- Dennis Kapp
- Danielle Karaffa
All providers in Scranton, PA · Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.