Individual provider Active NPI

Kimberlee Allen, PA-C

  • Medical Physician Assistant
  • Hyannis, MA
National Provider Identifier
1497907059
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
741 Issued in MA
Practice address
100 Independence Dr
Suite 102
Hyannis, MA 02601-1898
Phone
(508) 775-0003
NPI assigned
Oct 15, 2008
Last updated
Oct 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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 741 MA Primary

Addresses

Primary practice location

100 Independence Dr
Suite 102
Hyannis, MA 02601-1898

Mailing address

100 Independence Dr
Suite 102
Hyannis, MA 02601-1898
Phone (508) 775-0003

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
I20251024002457 VA Practitioner - Physician Assistant 6002318995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Midwestern University College of Dental Medicine, Downers Grove, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coremedx Inc.Group PAC ID 3577999739, 2 clinicians

Practice addresses (Care Compare)

441 Piney Forest Rd
Suite G
Danville, VA 24540-4154
Phone (434) 797-4455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
741MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Coremedx Inc. CurrentSince Jul 24, 2025 Accepting new patients
All Cape Gynecology LLC Past Accepting new patients

Locations

441 Piney Forest Rd
Ste E
Danville, VA 24540
Phone (434) 791-4110

441 Piney Forest Rd
Ste G
Danville, VA 24540
Phone (434) 793-0700

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.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1497907059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 INDEPENDENCE DR",
            "address_2": "SUITE 102",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011898",
            "telephone_number": "508-775-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INDEPENDENCE DR",
            "address_2": "SUITE 102",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011898",
            "telephone_number": "508-775-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KIMBERLEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.