Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568543379 Individual Practitioner Female Practitioner

Cheryl Kimmel , PA-C

Physician Assistant • Ormond Beach, FL

Professional Overview & Biography Verified Profile Summary

Cheryl Kimmel, PA-C is a registered healthcare professional specializing in Physician Assistant in Ormond Beach, FL. Practice services are available at 77 W GRANADA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

77 W Granada Blvd

Ormond Beach, FL 321746302

Telephone 3866770453
Fax 3866775494
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ormond Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
33 Specialists

Practicing in Ormond Beach, FL (10376 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9102863

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
26863 (FL)

Practice Associates & Co-Workers

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

9 Associated Practitioners
NPI 1164573192

Doctor of Medicine (M.D.)

Cynthia Dean , PA-C

Physician Assistant - Medical

NPI 1194862748

Physician Assistant (Certified)

Jennifer Rake , PA-C

Physician Assistant

NPI 1215447784

Physician Assistant (Certified)

Lyudmila Cheban , PA-C

Physician Assistant

NPI 1336579580

Physician Assistant (Certified)

Monique Medina , PA

Physician Assistant

NPI 1467967240

Physician Assistant

NPI 1518018530

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 15, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2010

Registered at 77 W GRANADA BLVD, ORMOND BEACH, FL 321746302 (Tel: 3866770453)

📍
Updated Business Mailing Address April 15, 2010

Registered at 1256 ROBBIN DR, PORT ORANGE, FL 321297426 (Tel: 3867564497)

👤
Provider Name / Credentials Updated April 15, 2010

Recorded as CHERYL KIMMEL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2010

Physician Assistant (License #PA9102863 in FL)

🟢
Initial NPI Registration & Enumeration October 18, 2006

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: 1568543379
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2006
Last Update: April 15, 2010
Sole Proprietor: No

Mailing Address

1256 Robbin Dr

Port Orange, FL 321297426

Phone: 3867564497

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.