Kimberly Sue Funston, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

000735 Issued in IA

Practice address

405 Monroe St
Pella, IA 50219-1290

Phone

(641) 621-2200

Fax

(641) 621-2335

NPI assigned

Jun 12, 2006

Last updated

Aug 1, 2024By the provider in NPPES

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 names 1

• Kimberly Sue Seda Former name

Medicare fee-for-service enrollment

Enrolled in IA

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, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pella Regional Health CenterGroup PAC ID 9931005873, shared by 10 NPIs, 96 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pella Regional Health Center Hospital, Pella, IA, CCN 161367

Merit-based Incentive Payment System (MIPS)

Final score

91.84 of 100Reported as group

Quality

91.13

Promoting interoperability

100

Improvement activities

40

Cost

81.67

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Pella Regional Health Center

  dba Pella Medical Clinic

  • Multi-Specialty Clinic/Center
  • Pella, IA
  • NPI 1053369405
  Medicare reassignment NPD
• Pella Regional Health Center

  • Critical Access Hospital
  • Pella, IA
  • NPI 1578520888
  Medicare reassignment NPD
• Family Medical Center P C

  • Family Medicine Physician
  • Oskaloosa, IA
  • NPI 1326012030
  NPD
• Pella Regional Health Center

  dba Pella Regional Prairie City Pharmacy

  • Community/Retail Pharmacy
  • Prairie City, IA
  • NPI 1033787445
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pella Regional Health Center

  • Critical Access Hospital
  • Pella, IA
  • NPI 1578520888
  Care Compare affiliation

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1568404317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MONROE ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191290",
            "telephone_number": "641-621-2200",
            "fax_number": "641-621-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MONROE ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191290",
            "telephone_number": "641-621-2200",
            "fax_number": "641-621-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNSTON",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "000735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "SEDA",
            "middle_name": "SUE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paula Renae Fontinel, P.T.
• Shawna Rae Fopma, PHYSICAL THERAPIST
• Joseph Phillip Formaro
• David Paul Fredrickson, M.D.
• Shelby Fuhs
• Victoria Fyfe
• Maria Lynn Fynaardt, LMSW
• Alexis Georgia, OTD, OTR/L
• Kelly Gibson, MPT
• William Gregory Gilmore, ATC

• Physician Assistant in Pella, IA
• Providers in Pella, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.