Individual provider Active NPI

Kimberly Lynn Arensberg, PA-C

  • Physician Assistant
  • Glen Dale, WV
National Provider Identifier
1366938482
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
786 Issued in WV
Practice address
800 Wheeling Ave
Glen Dale, WV 26038-1697
Phone
(304) 843-3314
Fax
(304) 843-3315
NPI assigned
Jul 2, 2018
Last updated
Apr 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X 786 WV Primary

Addresses

Primary practice location

800 Wheeling Ave
Glen Dale, WV 26038-1697

Mailing address

800 Wheeling Ave
Glen Dale, WV 26038-1697
Phone (304) 843-3314

Other practice location 1

108 Eoff St
Benwood, WV 26031
Phone (304) 221-3014

Other practice location 2

210 Fairmont Pike Rd
Wheeling, WV 26003-1574
Phone (304) 221-3020

Other practice location 3

215 Lafayette Ave
Moundsville, WV 26041-1032
Phone (304) 845-3435

Other names 1

  • Miss Kimberly Lynn Rinard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20181105002927 WV Practitioner - Physician Assistant 8123371366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reynolds Memorial Hospital, IncGroup PAC ID 9830184530, 152 clinicians

Practice addresses (Care Compare)

800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 843-3307

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
786WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reynolds Memorial Hospital, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Reynolds Memorial Hospital, Inc CurrentSince Oct 1, 2018 Accepting new patients

Locations

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

215 Lafayette Ave
Moundsville, WV 26041
Phone (304) 234-3405

210 Fairmont Pike Rd
Wheeling, WV 26003
Phone (304) 221-3020

Organizations & group practices 2

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 1

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": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1366938482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WHEELING AVE",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381697",
            "telephone_number": "304-843-3314",
            "fax_number": "304-843-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WHEELING AVE",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381697",
            "telephone_number": "304-843-3314",
            "fax_number": "304-843-3315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Eoff St",
            "address_purpose": "LOCATION",
            "city": "Benwood",
            "state": "WV",
            "postal_code": "26031",
            "country_code": "US",
            "telephone_number": "304-221-3014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Fairmont Pike Rd",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260031574",
            "country_code": "US",
            "telephone_number": "304-221-3020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Lafayette Ave",
            "address_purpose": "LOCATION",
            "city": "Moundsville",
            "state": "WV",
            "postal_code": "260411032",
            "country_code": "US",
            "telephone_number": "304-845-3435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARENSBERG",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2021-04-22",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "RINARD",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Dale, WV

Sources for this page

Verify at the official NPI Registry.