Kimberly Wieringa, PA-C
NPI 1316136591 · Physician Assistant · Jacksonville, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Wieringa, PA-C is a Physician Assistant provider in Jacksonville, FL (NPI 1316136591).
Provider details
- NPI number
- 1316136591
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA9105525 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1633 Race Track RdSuite 101Jacksonville, FL 32259-3234Phone: (904) 451-0587Fax: (904) 342-4028
Registry dates
- Enumerated
- 2007-10-23
- Last updated
- 2024-02-09
- Certified
- 2024-02-09
Frequently asked questions
- What is Kimberly Wieringa's NPI number?
- Kimberly Wieringa's National Provider Identifier (NPI) is 1316136591, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Wieringa's specialty?
- Kimberly Wieringa is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kimberly Wieringa located?
- Kimberly Wieringa's practice location on file with NPPES is 4500 San Pablo Rd S, Jacksonville, FL 32224-1865.
- What is Kimberly Wieringa's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Wieringa is (904) 953-2000.
- Does Kimberly Wieringa accept Medicare?
- Kimberly Wieringa is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Wieringa's NPI active?
- Yes — Kimberly Wieringa's NPI (1316136591) is active in the NPPES registry as of the last update on 2024-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.