Kimberly A Woodke, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1180 Issued in CO

Practice address

0310C County Road 14
Del Norte, CO 81132-8719

Phone

(719) 657-2418

Fax

(719) 657-3317

NPI assigned

Jun 8, 2006

Last updated

Nov 20, 2008By 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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Citizens' Foundation for Health Care IncGroup PAC ID 7517951536, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• At Home Healthcare Home health agency, Alamosa, CO, CCN 067248
• Rio Grande Hospital Hospital, Del Norte, CO, CCN 061301
• San Luis Valley Regional Medical Center Hospital, Alamosa, CO, CCN 060008

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwoodke@direct.rio-grande-hospital.org

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.

• Valley Citizens' Foundation for Health Care Inc

  dba Rio Grande Hospital

  • Critical Access Hospital
  • Del Norte, CO
  • NPI 1396783981
  Medicare reassignment Care Compare group NPD
• Valley Citizens' Foundation for Health Care Inc

  dba Rio Grande Hospital Rural Health Clinic

  • Rural Health Clinic/Center
  • Del Norte, CO
  • NPI 1396832820
  NPD
• Valley Citizens' Foundation for Health Care Inc

  dba Rio Grande Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Del Norte, CO
  • NPI 1720181225
  NPD (past)
• NPI 1205652047

  • NPI 1205652047
  NPD (past)

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

• LHCG Lvii, LLC

  dba At Home Healthcare

  • Home Health Agency
  • Alamosa, CO
  • NPI 1235545997
  Care Compare affiliation
• Lutheran Hospital Association of the San Luis Valley

  dba San Luis Valley Health Regional Medical Center

  • General Acute Care Hospital
  • Alamosa, CO
  • NPI 1235181744
  Care Compare affiliation
• Valley Citizens' Foundation for Health Care Inc

  dba Rio Grande Hospital

  • Critical Access Hospital
  • Del Norte, CO
  • NPI 1396783981
  Care Compare affiliation
• Valley Citizens' Foundation for Health Care Inc

  dba Rio Grande Hospital Clinic at South Fork

  • Critical Access Hospital Clinic/Center
  • South Fork, CO
  • NPI 1699266718
  Care Compare affiliation
• Valley Citizens' Foundation for Health Care Inc

  dba Creede Family Practice of Rio Grande Hospital

  • Critical Access Hospital Clinic/Center
  • Creede, CO
  • NPI 1851882989
  Care Compare affiliation

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1619917416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0310 COUNTY ROAD 14",
            "city": "DEL NORTE",
            "state": "CO",
            "postal_code": "811328719",
            "telephone_number": "719-657-2510",
            "fax_number": "719-657-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0310C COUNTY ROAD 14",
            "city": "DEL NORTE",
            "state": "CO",
            "postal_code": "811328719",
            "telephone_number": "719-657-2418",
            "fax_number": "719-657-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODKE",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20828527",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Enrico John Versace, M.D.
• Anna Christine Walker, P.T
• James Ely Walker, M.D.
• Kelsey Jo Hurley Walker, M.D.
• Tiffany Jo Ward, M.D.

• Physician Assistant in Del Norte, CO
• Providers in Del Norte, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.