Kimberlee Kay Walsh, MPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 20737 Issued in CA

Practice address

615 Ocean St
Santa Cruz, CA 95060-4005

Phone

(831) 425-7991

NPI assigned

Mar 8, 2010

Last updated

Jun 29, 2023By 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

Medicare fee-for-service enrollment

Enrolled in CA

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

Merit-based Incentive Payment System (MIPS)

Final score

71.19 of 100Reported as group

Quality

95.48

Improvement activities

40

Cost

10

Merit-based Incentive Payment System (MIPS)

Final score

79.81 of 100Reported as group

Quality

89.23

Promoting interoperability

100

Improvement activities

40

Cost

43.46

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• San Mateo Rheumatology Inc.

  • Rheumatology Physician
  • San Mateo, CA
  • NPI 1104201334
  Medicare reassignment
• Sirish Nakka MD Inc

  • Sleep Specialist (PhD)
  • Santa Cruz, CA
  • NPI 1609579069
  Medicare reassignment
• Aptos Doctors on Duty

  • Non-Pharmacy Dispensing Site
  • Aptos, CA
  • NPI 1013359991
  NPD (past)
• California Pacific Medical Group, Inc.

  dba Brown & Toland Medical Group

  • Multi-Specialty Clinic/Center
  • Oakland, CA
  • NPI 1275002453
  NPD (past)
• Santa Cruz Radiation Oncology Medical Group, Incorporated

  • Radiation Oncology Physician
  • Santa Cruz, CA
  • NPI 1306988381
  NPD (past)

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1831412659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885",
            "telephone_number": "831-649-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 OCEAN ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604005",
            "telephone_number": "831-425-7991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6800 Soquel Dr",
            "address_purpose": "LOCATION",
            "city": "Aptos",
            "state": "CA",
            "postal_code": "950033225",
            "country_code": "US",
            "telephone_number": "831-662-3611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "KIMBERLEE",
        "middle_name": "KAY",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 20737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Waller, OT
• Marissa Catherine Walls
• Babette Wallters, RN
• Walnut Avenue Family & Women's Center
• Alexis Joy Walsh
• Stephen Glenn Waltcher, M.D.
• Eric Daniel Walth
• Sepideh Taghvaei Walthard, DDS
• John D Walther, MD
• Walton Chiropractic Center, a.P.C.

• Physician Assistant in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.