Individual provider Active NPI

Kimberly Stewart Tarnai, PA-C

  • Medical Physician Assistant
  • Staunton, VA
National Provider Identifier
1285296111
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110-006716 Issued in VA
Practice address
25 Myers Corner Dr
Staunton, VA 24401-6342
Phone
(804) 241-3867
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110-006716 VA Primary

Addresses

Primary practice location

25 Myers Corner Dr
Staunton, VA 24401-6342

Mailing address

PO Box 1138
Fishersville, VA 22939-1138
Phone (540) 688-2646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20191007002757 VA Practitioner - Physician Assistant 8628309507 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0110-006716VAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: comprehensivebehavioralhealth.kimberlyhugo@142606.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1285296111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1138",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229391138",
            "telephone_number": "540-688-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MYERS CORNER DR",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244016342",
            "telephone_number": "804-241-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARNAI",
        "first_name": "KIMBERLY",
        "middle_name": "STEWART",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110-006716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

Verify at the official NPI Registry.