Individual provider Active NPI

Tiffany Anne Kimble, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • North Miami Beach, FL
National Provider Identifier
1871763094
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9105875 Issued in FL
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

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MI3 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
I20220328001805 FL Practitioner - Physician Assistant 3173918232 Reassigns benefits to 5 organizations
I20230510001871 NY Practitioner - Physician Assistant 3173918232 Reassigns benefits to 2 organizations
I20231017002794 MI Practitioner - Physician Assistant 3173918232 Reassigns benefits to 2 organizations

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
North Michigan Physician Services PCGroup PAC ID 0143730671, 66 clinicians
Michigan Emergency Physicians, LLPGroup PAC ID 7810045127, 11 clinicians
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians
New York Medical Physician Associates PCGroup PAC ID 6709226350, 208 clinicians
Apogee Medical Group, Florida IncGroup PAC ID 4082878509, 94 clinicians

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 Hospital, Suffern, NY, CCN 330158
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Hillsdale Hospital Hospital, Hillsdale, MI, CCN 230037
  • Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058
  • Munson Healthcare Manistee Hospital Hospital, Manistee, MI, CCN 230303

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.63
Improvement activities
40
Cost
81.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9105875FLMDMedical Physician Assistant
012444-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group, Florida Inc CurrentSince Dec 15, 2025 Accepting new patients
Michigan Emergency Physicians LLP CurrentSince Sep 13, 2023 Accepting new patients
New York Medical Physician Associates PC CurrentSince Sep 15, 2024 Accepting new patients
North Michigan Physician Services PC CurrentSince Dec 22, 2025 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.