Active NPI
Kimberly Comstock, CRNA
- Certified Registered Nurse Anesthetist
- Plymouth Meeting, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024192973
- Practice address
- 610 W Germantown Pike Unit 150
Plymouth Meeting, PA 19462-1050 - Phone
- (610) 525-4966
- NPI assigned
- Aug 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024192973 | VA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | NR73787 | NJ |
Addresses
Primary practice location
610 W Germantown Pike Unit 150
Plymouth Meeting, PA 19462-1050
Mailing address
610 W Germantown Pike Ste 150
Plymouth Meeting, PA 19462-1062
Other names 1
- Kimberly Baca
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19455 Deerfield Ave
Suite 204
Leesburg, VA 20176-8102
Phone (703) 724-9950
20480 Market St
Onancock, VA 23417-4309
Phone (757) 302-2100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NR73787 | NJ | MD | Certified Registered Nurse Anesthetist |
| 0024192973 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| Northstar Anesthesia of Pennsylvania, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Virtua Surgical Group, P.a | Past | Accepting new patients | |
| Cooper Physician Offices, PA | Past | Accepting new patients |
Locations
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000
1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561
475 Enterprise Dr
Ste 100
Royersford, PA 19468
Phone (484) 939-6020
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Anesthesiology Physician
- Darby, PA
- NPI 1700218989
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Internal Medicine Physician
- Camden, NJ
- NPI 1154369510
-
- Surgery Physician
- Cherry Hill, NJ
- NPI 1184811945
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paoli, PA
- NPI 1215042114
-
- Rural Acute Care Hospital
- Onancock, VA
- NPI 1619076916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1679566699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 W GERMANTOWN PIKE STE 150",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 W GERMANTOWN PIKE UNIT 150",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621050",
"telephone_number": "610-525-4966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMSTOCK",
"first_name": "KIMBERLY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-24",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024192973",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "NR73787",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "BACA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.