Active NPI
Kimberly Nelson, PA
- Physician Assistant
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA66188
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0149931 | NY | MD | Clinical Psychologist |
| 014993 | NY | MD | Dental Hygienist |
| PA66188 | CA | MD | Physician Assistant |
| PA 9107964 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Avera McKennan | Current | 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
- knelson419573@direct-ucsfmedicalcenter.org
- kimberly.nelson@directaddress.net
- 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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Surgery Physician
- San Francisco, CA
- NPI 1477627537
-
dba UCSF Pediatrics Group
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
dba UCSF Dept of Medicine General Medicine
- Internal Medicine Physician
- San Francisco, CA
- NPI 1760552343
-
dba UCSF Medical Center
- Pediatrics Physician
- San Francisco, CA
- NPI 1376614016
-
dba Avera McKennan Behavioral Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
dba UCSF Medical Center
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
-
dba UCSF Outpatient Pharmacy at Parnassus
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
dba Avera Medical Group Hematology, Transplant & Cellular Therapy Sioux Fa
- Hematology & Oncology Physician
- Sioux Falls, SD
- NPI 1538135447
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenbrae, CA
- NPI 1396725677
-
dba UCSF Medical Center
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.