Kimberly Essner, MS-PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2005008045 Issued in MO

Practice address

115 E Business US Highway 60
Dexter, MO 63841-1219

Phone

(573) 624-7575

Fax

(573) 624-3157

NPI assigned

Oct 30, 2006

Last updated

Sep 20, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MO

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dexter Hospital, LLCGroup PAC ID 6507834579, 16 clinicians

Southeast Health Center of Stoddard County LLCGroup PAC ID 7315192515, shared by 10 NPIs, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elara Caring Home health agency, Dexter, MO, CCN 267589
• Mercy Hospital Stoddard Hospital, Dexter, MO, CCN 260160
• Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110
• Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183
• Poplar Bluff Regional Medical Center Hospital, Poplar Bluff, MO, CCN 260119

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Southeast Health Center of Stoddard County, LLC

  dba Mercy Hospital Stoddard

  • Rural Health Clinic/Center
  • Dexter, MO
  • NPI 1790828812
  Medicare reassignment
• Southeast Health Center of Stoddard County LLC

  dba Mercy Hospital Stoddard

  • Rural Health Clinic/Center
  • Bernie, MO
  • NPI 1679820286
  NPD
• Southeast Health Center of Stoddard County, LLC

  dba Mercy Hospital Stoddard

  • Rural Health Clinic/Center
  • Dexter, MO
  • NPI 1457660045
  NPD
• Southeast Health Center of Stoddard County LLC

  dba Mercy Hospital Stoddard

  • Family Medicine Physician
  • Dexter, MO
  • NPI 1477997567

  Physician Assistant

  NPD (past)

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

• Poplar Bluff Regional Medical Center LLC

  dba Poplar Bluff Regional Medical Center

  • General Acute Care Hospital
  • Poplar Bluff, MO
  • NPI 1700831724
  Care Compare affiliation
• Saint Francis Medical Center

  • General Acute Care Hospital
  • Cape Girardeau, MO
  • NPI 1467412726
  Care Compare affiliation
• Saint Francis Medical Center

  • Internal Medicine Physician
  • Cape Girardeau, MO
  • NPI 1578513016

  Hospital

  Care Compare affiliation
• Southeast Health Center of Stoddard County, LLC

  dba Mercy Hospital Stoddard

  • General Acute Care Hospital
  • Dexter, MO
  • NPI 1801990825
  Care Compare affiliation
• Southeast Hospital

  dba Mercy Hospital Southeast

  • General Acute Care Hospital
  • Cape Girardeau, MO
  • NPI 1811006661
  Care Compare affiliation
• Tri County Home Health, Inc.

  dba Elara Caring

  • Home Health Agency
  • Dexter, MO
  • NPI 1881641090
  Care Compare affiliation

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1962588210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ONE MILE RD",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638411000",
            "telephone_number": "573-624-5566",
            "fax_number": "573-624-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E BUSINESS US HIGHWAY 60",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638411219",
            "telephone_number": "573-624-7575",
            "fax_number": "573-624-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSNER",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "MS-PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-30",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2005008045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dexter School
• Diamond Aire, LLC
• Diamond Hospice, LLC
• Logan England
• Enlighten Counseling LLC
• Ferguson Medical Group Rural Health Center, Inc
• Kelly Fields-Wilburn, NP
• Gina Nicole Finch, MA, CCC-SLP
• Four Oaks Inc (Four Oaks Hospice)
• Frank Furnari, MD

• Physician Assistant in Dexter, MO
• Providers in Dexter, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.