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Active NPI 1023214566 Individual Practitioner Female Practitioner

Kimberly Joy Waack , PA-C

Physician Assistant • Albuquerque, NM

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimberly Waack, PA-C is a certified Physician Assistant practicing in Albuquerque, NM. With approximately 20 years of clinical experience since completing medical education in 2006, Kimberly Waack delivers high-quality medical care to the local community at 1901 JUAN TABO BLVD NE STE B.

Kimberly Waack is affiliated with Wake Specialty Physicians Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1901 Juan Tabo Blvd Ne Ste B

Albuquerque, NM 871123303

Telephone 5052815180
Fax 5057028171
Associated Practice Facility / Clinic
🏢 High Plains Medical, Inc. Facility NPI 1528074390

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Albuquerque, NM

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +10.4 yrs vs City Avg
City Avg: 9.6 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
499 Specialists

Practicing in Albuquerque, NM (865 Statewide)

Telehealth Adoption Rate
14.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waack (20 Years) 20 Yrs
Albuquerque Specialty Average (9.6 Years) 9.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-05-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NM PA2026-0045

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NC 0010-00955

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.

Hospital & Practice Group Affiliations

Wake Specialty Physicians Llc

6800 Glenwood Ave, Raleigh, NC 276127133

Phone: 9192351939

Wake Specialty Physicians Llc

815 Springfield Commons Dr, Raleigh, NC 276098529

Phone: 9192351400

Wake Specialty Physicians Llc

4530 Fayetteville Rd, Raleigh, NC 276033614

Phone: 9193500365

Wake Specialty Physicians Llc

10000 Falls Of Neuse Rd, Raleigh, NC 276147838

Phone: 9193501300

Wake Specialty Physicians Llc

1260 N Arendell Ave, Zebulon, NC 275978730

Phone: 9192351965

Wake Specialty Physicians Llc

126 Pritchard Rd, Clayton, NC 275279297

Phone: 9192351036

Wake Specialty Physicians Llc

7750 Ten Ten Rd, Raleigh, NC 276038852

Phone: 9192351500

Secondary Practice Locations

2216 E Nc Highway 54

Durham, NC 277132208

Phone: 9193500365

Practice Associates & Co-Workers

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

11 Associated Practitioners
Carrie Kern , NP

Nurse Practitioner - Family

NPI 1013552637

Nurse Practitioner

NPI 1083235279

Doctor of Osteopathic Medicine (D.O.)

Ashlee Holguin , PA

Physician Assistant

NPI 1134767650

Physician Assistant

Gerry Situ , PA-C

Physician Assistant

NPI 1285227272

Physician Assistant (Certified)

NPI 1306573837

PAS, NREMTP

Adrian Davies , PA

Physician Assistant

NPI 1366934382

Physician Assistant

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location May 26, 2026

Registered at 1901 JUAN TABO BLVD NE STE B, ALBUQUERQUE, NM 871123303 (Tel: 5052815180)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2026

Physician Assistant (License #PA2026-0045 in NM)

📍
Updated Practice Location April 15, 2024

Registered at 2216 E NC HIGHWAY 54, DURHAM, NC 277132208 (Tel: 9193500365)

📍
Updated Business Mailing Address April 15, 2024

Registered at PO BOX 602195, CHARLOTTE, NC 282602195 (Tel: 8774984490)

📍
Updated Practice Location March 30, 2023

Registered at 115 KILDAIRE PARK DR STE 301, CARY, NC 275188144 (Tel: 9192330410)

📍
Updated Business Mailing Address March 30, 2023

Registered at 115 KILDAIRE PARK DR STE 301, CARY, NC 275188144 (Tel: 9192330410)

👤
Provider Name / Credentials Updated March 30, 2023

Recorded as KIMBERLY WAACK, PA-C

📍
Updated Practice Location July 07, 2021

Registered at 115 CRESCENTCOMMONS DR STE 150, CARY, NC 275188136 (Tel: 9192494904)

📍
Updated Business Mailing Address July 07, 2021

Registered at 115 CRESCENTCOMMONS DR STE 150, CARY, NC 275188136 (Tel: 9192494904)

👤
Provider Name / Credentials Updated July 07, 2021

Recorded as KIMBERLY WAACK, PHYSICIAN ASSISTANT

NPI Profile Active April 24, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2008

Registered at 114 BRADY CT, CARY, NC 275114554 (Tel: 9194691252)

📍
Updated Business Mailing Address April 24, 2008

Registered at 114 BRADY CT, CARY, NC 275114554 (Tel: 9194691252)

👤
Provider Name / Credentials Updated April 24, 2008

Recorded as KIMBERLY HARDWICK, PHYSICIAN ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2008

Physician Assistant (License #0010-00955 in NC)

🟢
Initial NPI Registration & Enumeration June 22, 2007

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: 1023214566
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2007
Last Update: May 26, 2026
Sole Proprietor: No

Mailing Address

Po Box 602195

Charlotte, NC 282602195

Phone: 8774984490

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.