Kimberly Wachter, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0002063 Issued in MD

Practice address

1838 Greene Tree Rd
Suite 150LL
Baltimore, MD 21208-6391

Phone

(410) 602-9262

Fax

(410) 602-9276

NPI assigned

Oct 16, 2006

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

Other names 1

• Kimberly Berkey Former name

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Maryland St Joseph Medical Group LLCGroup PAC ID 4880846179, 288 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063

Merit-based Incentive Payment System (MIPS)

Final score

87.09 of 100Reported as group

Quality

79.06

Promoting interoperability

100

Improvement activities

40

Cost

77.9

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwachter137000@direct.umm.edu

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.

• University of Maryland St. Joseph Medical Group, LLC

  • General Practice Physician
  • Towson, MD
  • NPI 1770836785
  Medicare reassignment Care Compare group NPD
• Midatlantic Cardiovascular Associates PA

  • Cardiovascular Disease Physician
  • Baltimore, MD
  • NPI 1821084112
  NPD (past)

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

• University of Maryland St. Joseph Medical Center, LLC

  • General Acute Care Hospital
  • Towson, MD
  • NPI 1124374079
  Care Compare affiliation

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1851481071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE ROAD",
            "address_2": "SUITE 150LL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-602-9262",
            "fax_number": "410-602-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 150LL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "410-602-9262",
            "fax_number": "410-602-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTER",
        "first_name": "KIMBERLY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0002063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BERKEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria Vykol, DNP, CRNP, NNP-BC
• W Scott Supplee MD PA
• Christaina Wabeke
• Martha Grace Wachenheim, CRNA
• Lee Wachtel, M.D.
• Stacey Wachter, MS CCC- SLP
• Frank Klaus Wacker, MD
• Aiesha J Wactor, CRNP
• Fazeela Wadan, MD
• Beth Ann Waddell-Vandegeijn, CRNP

• Medical Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.