Active NPI
Tiffany Anne Kimble, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- North Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9105875
- Practice address
- 160 NW 170TH St
North Miami Beach, FL 33169-5576 - Phone
- (786) 466-2951
- NPI assigned
- Mar 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 012444-1 | NY | |
| Medical Physician Assistant | 363AM0700X | PA9105875 | FL | Primary |
Addresses
Primary practice location
160 NW 170TH St
North Miami Beach, FL 33169-5576
Mailing address
9922 NW 2ND CT
Plantation, FL 33324-7098
Phone (954) 829-5505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY, MI
- 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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1465 E Parkdale Ave
Manistee, MI 49660-9709
Phone (231) 398-1000
168 S Howell St
Hillsdale, MI 49242-2040
Phone (517) 437-5125
20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 682-7000
241 N Rd
Poughkeepsie, NY 12601-1154
Phone (845) 483-5000
255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 368-5983
951 N Washington Ave
Titusville, FL 32796-2194
Phone (321) 268-6111
Hospital & facility affiliations
- Good Samaritan Hospital of Suffern
- St Josephs Hospital
- Hillsdale Hospital
- Munson Healthcare Grayling Hospital
- Munson Healthcare Manistee Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 96.63
- Improvement activities
- 40
- Cost
- 81.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9105875 | FL | MD | Medical Physician Assistant |
| 012444-1 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group, Florida Inc | Current | Accepting new patients | |
| Michigan Emergency Physicians LLP | Current | Accepting new patients | |
| New York Medical Physician Associates PC | Current | Accepting new patients | |
| North Michigan Physician Services PC | Current | Accepting new patients | |
| National Health Rehabilitation LLC | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840
168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451
1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000
241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889
111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534
Organizations & group practices 12
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.
-
- Hospitalist Physician
- Charlevoix, MI
- NPI 1972314821
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
-
- Emergency Medicine Physician
- Three Rivers, MI
- NPI 1205075074
-
- Hospitalist Physician
- Poughkeepsie, NY
- NPI 1578316501
-
- Internal Medicine Physician
- Tallahassee, FL
- NPI 1366100364
-
- Internal Medicine Physician
- North Miami Beach, FL
- NPI 1689446700
-
- Emergency Medicine Physician
- Hillsdale, MI
- NPI 1770820953
-
- Hospitalist Physician
- Margaretville, NY
- NPI 1528869203
-
- Physical Medicine & Rehabilitation Physician
- Edgewater, NJ
- NPI 1780080218
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
- General Acute Care Hospital
- Suffern, NY
- NPI 1346213469
-
- General Acute Care Hospital
- Hillsdale, MI
- NPI 1730115940
-
- Rural Acute Care Hospital
- Grayling, MI
- NPI 1083010953
-
- General Acute Care Hospital
- Manistee, MI
- NPI 1407949191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1871763094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9922 NW 2ND CT",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333247098",
"telephone_number": "954-829-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 NW 170TH ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331695576",
"telephone_number": "786-466-2951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBLE",
"first_name": "TIFFANY",
"middle_name": "ANNE",
"name_prefix": "Miss",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-04",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "012444-1",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9105875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.