Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881001162 Individual Practitioner Female Practitioner

Kimberly W Stackpole

Physician Assistant - Medical • Daytona Beach, FL

Professional Overview & Biography Verified Profile Summary

Kimberly Stackpole is a registered healthcare professional specializing in Physician Assistant - Medical in Daytona Beach, FL. Practice services are available at 311 N CLYDE MORRIS BLVD under active NPI credentials.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

311 N Clyde Morris Blvd
Suite 320

Daytona Beach, FL 321142781

Telephone 3862555331
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.3 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
25 Specialists

Practicing in Daytona Beach, FL (2836 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes
26 23 $62.00 $34.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
20 19 $113.00 $62.92

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Otakar Quadrat , MD

Internal Medicine - Interventional Cardiology

NPI 1245286624

Doctor of Medicine (M.D.)

Dr. Humayun Jamidar , MD

Internal Medicine - Cardiovascular Disease

NPI 1417921701

Doctor of Medicine (M.D.)

Misty Pennington , APRN, FNP-BC

Nurse Practitioner - Family

NPI 1447831730

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Delilah Plate

Registered Nurse

NPI 1871415638
Sierra Quintero , APRN

Nurse Practitioner - Family

NPI 1972140994

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2014

Registered at 311 N CLYDE MORRIS BLVD, SUITE 320, DAYTONA BEACH, FL 321142781 (Tel: 3862555331)

📍
Updated Business Mailing Address July 17, 2014

Registered at 311 N CLYDE MORRIS BLVD, SUITE 320, DAYTONA BEACH, FL 321142781 (Tel: 3862555331)

👤
Provider Name / Credentials Updated July 17, 2014

Recorded as KIMBERLY STACKPOLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2014

Physician Assistant

🟢
Initial NPI Registration & Enumeration July 17, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881001162
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2014
Last Update: July 17, 2014
Sole Proprietor: No

Mailing Address

311 N Clyde Morris Blvd, Suite 320

Daytona Beach, FL 321142781

Phone: 3862555331

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.