Kimberly Lynn Pfister, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0004387 Issued in MD

Practice address

University Health Center BLDG 140
University of Maryland
College Park, MD 20742

Phone

(301) 314-8180

Fax

(410) 795-3538

NPI assigned

Nov 1, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2016 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• State of Maryland - DHMH

  • Public Health or Welfare Agency
  • Cambridge, MD
  • NPI 1144298290
  NPD (past)
• University Health Center

  • Clinic/Center
  • College Park, MD
  • NPI 1508849639
  NPD (past)

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1386944742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY HEALTH CENTER BLDG 140",
            "address_2": "UNIVERSITY OF MARYLAND",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "20742",
            "telephone_number": "301-314-8180",
            "fax_number": "410-795-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY HEALTH CENTER BLDG 140",
            "address_2": "UNIVERSITY OF MARYLAND",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "20742",
            "telephone_number": "301-314-8180",
            "fax_number": "410-795-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFISTER",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prudentia Yeluma Pefok
• Jessica Susan Perez, P.A.
• Maria Anna Perrotta, CRNP
• Cynthia N Perry, ATC
• David Petersen, PH.D.
• Melissa Pforr, ATC
• PHC Healthcare LLC
• Phi Life Sciences LLC
• Pepper Ellen Phillips
• Theodore Pickett Jr., PH.D.

• Medical Physician Assistant in College Park, MD
• Providers in College Park, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.