Individual provider Active NPI

Katherine Victoria Kaminski, PA

  • Medical Physician Assistant
  • Wilmington, DE
National Provider Identifier
1700192176
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C5-0000707 Issued in DE
Practice address
1815 W 13TH St
Suite 1
Wilmington, DE 19806-4054
Phone
(302) 652-4705
Fax
(302) 652-2917
NPI assigned
Aug 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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 C5-0000707 DE Primary

Addresses

Primary practice location

1815 W 13TH St
Suite 1
Wilmington, DE 19806-4054

Mailing address

1815 W 13TH St
Suite 1
Wilmington, DE 19806-4054
Phone (302) 652-4705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20260304002457 DE Practitioner - Physician Assistant 9335621853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mackey Family Practice LLCGroup PAC ID 8527568369, 4 clinicians

Practice addresses (Care Compare)

4512 Kirkwood Hwy
Suite 205
Wilmington, DE 19808-5123
Phone (302) 660-7302

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5-0000707DEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mackey Family Practice LLC CurrentSince Feb 4, 2026 Accepting new patients
Brandywine Medical Associates, Inc. PastSince Jul 1, 2000 Accepting new patients

Locations

4512 Kirkwood Hwy
Ste 205
Wilmington, DE 19808
Phone (302) 660-7302

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 and National Provider Directory roles.

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": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1700192176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 W 13TH ST",
            "address_2": "SUITE 1",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064054",
            "telephone_number": "302-652-4705",
            "fax_number": "302-652-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 W 13TH ST",
            "address_2": "SUITE 1",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064054",
            "telephone_number": "302-652-4705",
            "fax_number": "302-652-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSKI",
        "first_name": "KATHERINE",
        "middle_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DE",
            "license": "C5-0000707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.