Individual provider Active NPI

Kimberly Nelson, PA

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1831478221
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA66188 Issued in CA
Practice address
1825 4TH St
San Francisco, CA 94143-2350
Phone
(415) 885-7528
NPI assigned
Aug 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X EL31922 NH
Physician Assistant 363A00000X PA 9107964 FL
Medical Physician Assistant 363AM0700X PA220398 OR
Surgical Physician Assistant 363AS0400X 014993 NY
Physician Assistant 363A00000X PA66188 CA Primary

Addresses

Primary practice location

1825 4TH St
San Francisco, CA 94143-2350

Mailing address

21110 Biscayne Blvd
Ste 400
Aventura, FL 33180-1227
Phone (305) 918-7050

Other practice location 1

3303 S Bond Ave
Portland, OR 97239-4501
Phone (503) 494-6594

Other practice location 2

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-5000

Other practice location 3

21110 Biscayne Blvd
Ste 400
Aventura, FL 33180-1227
Phone (305) 918-7050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NH, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180515003091 SD Practitioner - Physician Assistant 3779706619 Reassigns benefits to 1 organization
I20250103002233 NH Practitioner - Physician Assistant 3779706619 Reassigns benefits to 2 organizations
I20250416003365 CA Practitioner - Physician Assistant 3779706619 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians
UCSF Dept of SurgeryGroup PAC ID 7719886373, 211 clinicians

Practice addresses (Care Compare)

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

400 Parnassus Ave
San Francisco, CA 94143-2202

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0149931NYMDClinical Psychologist
014993NYMDDental Hygienist
PA66188CAMDPhysician Assistant
PA 9107964FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Apr 16, 2018 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Dec 31, 2024 Accepting new patients
University of California San Francisco CurrentSince Apr 8, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Dec 31, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 8, 2025 Accepting new patients
University of California San Francisco CurrentSince Apr 8, 2025 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Dec 31, 2024 Accepting new patients
Avera McKennan CurrentSince Apr 16, 2018 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

1825 4th St
San Francisco, CA 94143
Phone (415) 353-3000

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

620 3rd Ave SE
Aberdeen, SD 57401
Phone (605) 622-2550

1000 E 23rd St
Ste 200
Sioux Falls, SD 57105
Phone (605) 322-3035

Interoperability endpoints

  • Direct secure messaging: knelson419573@direct-ucsfmedicalcenter.org
  • Direct secure messaging: kimberly.nelson@directaddress.net
  • Direct secure messaging: kimberly.nelson@hca4.eclinicaldirectplus.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1831478221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD",
            "address_2": "STE 400",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801227",
            "telephone_number": "305-918-7050",
            "fax_number": "305-918-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 4TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432350",
            "telephone_number": "415-885-7528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3303 S Bond Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972394501",
            "country_code": "US",
            "telephone_number": "503-494-6594",
            "fax_number": "503-494-5385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037560001",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21110 Biscayne Blvd",
            "address_2": "Ste 400",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801227",
            "country_code": "US",
            "telephone_number": "305-918-7050",
            "fax_number": "305-918-7051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KIMBERLY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "EL31922",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9107964",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA220398",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "014993",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.