Individual provider Active NPI

Kimberlee A Hrabic, PA-C

  • Medical Physician Assistant
  • Everett, PA
National Provider Identifier
1679828636
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA055553 Issued in PA
Practice address
10455 Lincoln Hwy
Everett, PA 15537-7046
Phone
(814) 623-6161
NPI assigned
Jul 16, 2012
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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 MA055553 PA Primary

Addresses

Primary practice location

10455 Lincoln Hwy
Everett, PA 15537-7046

Mailing address

10455 Lincoln Hwy
Everett, PA 15537-7046
Phone (814) 623-6161

Other practice location 1

1490 N Center Ave
Somerset, PA 15501-1691
Phone (814) 443-4740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120910000526 PA Practitioner - Physician Assistant 1355599770 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 9TH Ave
Altoona, PA 16602-2415
Phone (814) 941-8811

1414 9TH Ave
Blair Medical Assocs
Altoona, PA 16602-2415
Phone (814) 946-1655

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA055553PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Nov 27, 2017 Accepting new patients
Upmc Community Medicine Inc CurrentSince Nov 27, 2017 Accepting new patients
Upmc Bedford Memorial CurrentSince Jul 23, 2012 Accepting new patients
Upmc Altoona Regional Health Services, Inc CurrentSince Jul 16, 2017 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Sep 9, 2021 Accepting new patients
Upmc Bedford Memorial CurrentSince Jul 23, 2012 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550

249 Hospital Dr
Everett, PA 15537
Phone (814) 623-1166

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1679828636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10455 LINCOLN HWY",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377046",
            "telephone_number": "814-623-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 LINCOLN HWY",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377046",
            "telephone_number": "814-623-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1490 N Center Ave",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "PA",
            "postal_code": "155011691",
            "country_code": "US",
            "telephone_number": "814-443-4740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HRABIC",
        "first_name": "KIMBERLEE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, PA

Sources for this page

Verify at the official NPI Registry.