Individual provider Active NPI

Kimberly Ann Showan, PA-C

  • Physician Assistant
  • Lock Haven, PA
National Provider Identifier
1871934018
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA056146 Issued in PA
Practice address
68 Spring St
Lock Haven, PA 17745-1911
Phone
(570) 263-5840
Fax
(570) 893-6325
NPI assigned
Jul 16, 2013
Last updated
May 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA056146 PA Primary
Physician Assistant 363A00000X OA003060 PA

Addresses

Primary practice location

68 Spring St
Lock Haven, PA 17745-1911

Mailing address

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 263-5840

Other names 1

  • Kimberly Kavanagh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20160120002528 PA Practitioner - Physician Assistant 4880997105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Geisinger-HM Joint Venture LLCGroup PAC ID 1355676370, 426 clinicians

Practice addresses (Care Compare)

1630 N Atherton St
State College, PA 16803-1416
Phone (814) 238-1279

68 Spring St
Lock Haven, PA 17745-1911
Phone (800) 230-4565

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Selinsgrove Physician Assistant CurrentSince Jan 19, 2026 Accepting new patients
Geisinger-HM Joint Venture, LLC Physician Assistant Past Accepting new patients
Geisinger Clinic GYN Onc Physician Assistant Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

201 Roosevelt Ave
Selinsgrove, PA 17870
Phone (570) 372-8803

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1871934018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "570-263-5840",
            "fax_number": "570-893-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 SPRING ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177451911",
            "telephone_number": "570-263-5840",
            "fax_number": "570-893-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOWAN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056146",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KAVANAGH",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lock Haven, PA

Sources for this page

Verify at the official NPI Registry.