Kimberly Jayne Dahlberg, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

8530 W Sunset Rd Ste 250
Las Vegas, NV 89113-2245

Phone

(702) 851-0792

NPI assigned

Dec 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thomas DermatologyGroup PAC ID 9830277136, 35 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.8 of 100Reported as group

Quality

95.07

Promoting interoperability

96

Improvement activities

40

Cost

70.93

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HAEJAA/Endpoint/HAEJAA

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.

• Thomas Dermatology

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1922279496
  Medicare reassignment Care Compare group
• Duke Forage Anson Neurosurgical LLP

  dba The Spine and Brain Institute

  • Neurological Surgery Physician
  • Henderson, NV
  • NPI 1194055442
  Medicare reassignment
• Duke Forage Anson Neurosurgical LLP

  dba The Spine and Brain Institute

  • Neurological Surgery Physician
  • Las Vegas, NV
  • NPI 1649777608
  NPD
• Douglas a. Thomas, MD

  dba Thomas Dermatology

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1891897658
  NPD (past)

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1376254953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 W SUNSET RD STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132245",
            "telephone_number": "702-851-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 W SUNSET RD STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132245",
            "telephone_number": "702-851-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLBERG",
        "first_name": "KIMBERLY",
        "middle_name": "JAYNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376254953",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loretta Dahill
• Cari Alayne Dahl, BS
• Heather Allena Dahl
• Jeannie Dahl
• Rebecca Ann Dahl, DO
• Dolores Banas Dahlen
• Mirna Dahlen
• Craig Dahlheimer
• Dahlia Hospice (Prohealth Hospice)
• Kristen Dahlke

• Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.