Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760104855 Individual Practitioner Female Practitioner

Kimberly Edmonds , PA-C

Physician Assistant • Stayton, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimberly Edmonds, PA-C is a certified Physician Assistant practicing in Stayton, OR. With approximately 3 years of clinical experience since completing medical education in 2023, Kimberly Edmonds delivers high-quality medical care to the local community at 1401 N 10TH AVE STE 100.

Kimberly Edmonds is affiliated with Santiam Memorial Hospital and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1401 N 10th Ave Ste 100

Stayton, OR 973831486

Telephone 5037696386
Fax 5037695647
Associated Practice Facility / Clinic
🏢 Jeanne L Fitzpatrick Md Pc Facility NPI 1275704769

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Stayton, OR

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -3.7 yrs vs City Avg
City Avg: 6.7 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
11 Specialists

Practicing in Stayton, OR (2106 Statewide)

Telehealth Adoption Rate
0.0% 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. Edmonds (3 Years) 3 Yrs
Stayton Specialty Average (6.7 Years) 6.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-01-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA218013

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

Santiam Memorial Hospital

1401 N 10th Ave, Stayton, OR 973831486

Phone: 5037696386

Practice Associates & Co-Workers

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

6 Associated Practitioners
Ian Cavigli , PA-C

Physician Assistant

NPI 1003624545

Physician Assistant (Certified)

Dr. Paul Neumann , MD

Family Medicine

NPI 1427086339

Doctor of Medicine (M.D.)

Kelsey Porter , PA-C

Physician Assistant

NPI 1427867704

Physician Assistant (Certified)

Maria Turney , FNP

Nurse Practitioner - Family

NPI 1447491121

Family Nurse Practitioner

NPI 1760599351

Doctor of Osteopathic Medicine (D.O.)

Dr. Kim Dang , MD

Internal Medicine

NPI 1922364512

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 26, 2024

Registered at 1401 N 10TH AVE STE 100, STAYTON, OR 973831486 (Tel: 5037696386)

📍
Updated Business Mailing Address January 26, 2024

Registered at 4777 WHITMAN CIR NE, SALEM, OR 973053600 (Tel: 5306801003)

👤
Provider Name / Credentials Updated January 26, 2024

Recorded as KIMBERLY EDMONDS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2024

Physician Assistant (License #PA218013 in OR)

NPI Profile Active September 14, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2022

Registered at 222 SE 8TH AVE STE 551, HILLSBORO, OR 971234218 (Tel: 5306801003)

📍
Updated Business Mailing Address September 14, 2022

Registered at 9213 LUCINDA LN, ATASCADERO, CA 934222125 (Tel: 5306801003)

👤
Provider Name / Credentials Updated September 14, 2022

Recorded as KIMBERLY EDMONDS, PA-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 14, 2022

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: 1760104855
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2022
Last Update: January 26, 2024
Sole Proprietor: No

Mailing Address

4777 Whitman Cir Ne

Salem, OR 973053600

Phone: 5306801003

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.