Kimberly Rienecke, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0004447 Issued in MD

Practice address

11701 Livingston Rd Ste 105
Fort Washington, MD 20744-5126

Phone

(301) 292-7440

Fax

(301) 292-3278

NPI assigned

May 24, 2011

Last updated

May 24, 2011By 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 DC

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Virginia Hospital Center Hospital, Arlington, VA, CCN 490050

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.rienecke.1@8042.direct.athenahealth.com

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC

  Medicare reassignment Care Compare group NPD
• Ortho Oic Orthopaedic Immediate Care, LLC

  • Urgent Care Clinic/Center
  • Arlington, VA
  • NPI 1104394766

  DC

  Medicare reassignment
• Bethesda Chevy Chase Orthopaedic Associates, LLC

  dba Jordan-Young Institute

  • Orthopaedic Surgery Physician
  • Bethesda, MD
  • NPI 1477583599
  NPD
• Bethesda Chevy Chase Orthopaedic Associates, LLC

  dba OrthoBethesda

  • Durable Medical Equipment & Medical Supplies
  • Bethesda, MD
  • NPI 1851759898
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD

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

• Virginia Hospital Center Arlington Health System

  • General Acute Care Hospital
  • Arlington, VA
  • NPI 1790785996
  Care Compare affiliation

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1962795039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 LIVINGSTON RD STE 105",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445126",
            "telephone_number": "301-292-7440",
            "fax_number": "301-292-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 LIVINGSTON RD STE 105",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445126",
            "telephone_number": "301-292-7440",
            "fax_number": "301-292-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIENECKE",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Felix Revollo
• Revolutionary Inventions, Inc.
• Tatiana Carolina Reyes, CMI CERTIFIED
• Andreya E Richardson
• Erika Richardson, MSW, LICSW
• Laura L Riggins, MD
• Tara Riley, LCSW-C, LICSW
• Mary Antoinettee Roach, PHARMD
• Roberta's Developmental Disability Ctr.
• Rachell Roberts

• Medical Physician Assistant in Fort Washington, MD
• Providers in Fort Washington, 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 May 24, 2011; 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.