Kim J Kinnebrew (NPI# 1437186889, PAC ID# 0941190979) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1437186889 |
| PAC ID by PECOS | 0941190979 |
| Professional Enrollment ID | I20040316000214 |
| Full Name | Kim J Kinnebrew |
| Organization Legal Name | MOUNTAIN WEST DERM - BLACKHART PLLC |
| Address |
3841 Piper St Suite T4 020 Anchorage AK 99508-4673 |
| Phone Number | 9076468500 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1153609813 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020001 | PROVIDENCE ALASKA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3841 Piper St, Suite T4 020, Anchorage, AK 99508-4673 | 9076468500 | MOUNTAIN WEST DERM - BLACKHART PLLC |
| 3841 Piper St, Suite T4 020, Anchorage, AK 99508-4673 | ALASKA CENTER FOR DERMATOLOGY PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_337_overall | Tuberculosis (TB) Prevention for Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier | 100% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 77% |
| Organization Legal Name | MOUNTAIN WEST DERM - BLACKHART PLLC |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandria Noel Staub | Physician Assistant | Mountain West Derm - Blackhart Pllc | 2747 Ne Conners Ave, Bend, OR 97701-8738 |
| Irene Helen Mannering | Dermatology | Mountain West Derm - Blackhart Pllc | 640 W Moana Ln, Reno, NV 89509-4903 |
| Michael John Housley | Physician Assistant | Mountain West Derm - Blackhart Pllc | 271 Duffers Ln, Cascade, ID 83611-5506 |
| Dan E Rowe | Dermatology | Mountain West Derm - Blackhart Pllc | 3950 Gs Richards Blvd, Carson City, NV 89703-8457 |
| Doug Starley | Physician Assistant | Mountain West Derm - Blackhart Pllc | 4814 Sparks Blvd, Sparks, NV 89436-8219 |
| James H Stewart | Dermatology | Mountain West Derm - Blackhart Pllc | 7733 W Emerald St, Boise, ID 83704-9020 |
| Anthony E Albregts | Dermatology | Mountain West Derm - Blackhart Pllc | 640 W Moana Ln, Reno, NV 89509-4903 |
| Stephanie A Mcleish | Dermatology | Mountain West Derm - Blackhart Pllc | 3841 Piper St, Suite T4 020, Anchorage, AK 99508-4673 |
| Kimberly A Kolar | Dermatology | Mountain West Derm - Blackhart Pllc | 640 W Moana Ln, Reno, NV 89509-4903 |
| Amy Richelle Schoening | Physician Assistant | Mountain West Derm - Blackhart Pllc | 640 W Moana Ln, Reno, NV 89509-4903 |
| Street Address |
3841 PIPER ST SUITE T4 020 |
| City | ANCHORAGE |
| State | AK |
| Zip | 99508-4673 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Joseph Shaw | Cardiovascular Disease (cardiology) | Alaska Heart Institute | 3841 Piper St, Suite T100, Anchorage, AK 99508-4674 |
| Matthew Lee Shryock | Nurse Practitioner | Alaska Heart Institute | 3841 Piper St, Suite T100, Anchorage, AK 99508-4674 |
| Paul A Peterson | Cardiovascular Disease (cardiology) | Alaska Heart Institute | 3841 Piper St, Suite T100, Anchorage, AK 99508-4674 |
| Elizabeth A Garrity | Nurse Practitioner | Alaska Heart Institute | 3841 Piper St, Suite T100, Anchorage, AK 99508-4674 |
| Carson S Webb | Interventional Cardiology | Alaska Heart Institute | 3841 Piper St, Suite T100, Anchorage, AK 99508-4674 |
| Denise C Valentine | Nurse Practitioner | Alaska Heart Institute | 3841 Piper St, Suite T100, Anchorage, AK 99508-4674 |
| Jerome O List | Otolaryngology | 3841 Piper St, Suite T311, Anchorage, AK 99508-4674 | |
| Jennifer L Mitchell | Otolaryngology | Alaska Center for Ear Nose and Throat Inc | 3841 Piper St, Suite T230, Anchorage, AK 99508-4689 |
| Stephanie A Mcleish | Dermatology | Mountain West Derm - Blackhart Pllc | 3841 Piper St, Suite T4 020, Anchorage, AK 99508-4673 |
| Joseph W Turner | Urology | Alaska Urology LLC | 3841 Piper St, T300, Anchorage, AK 99508-4685 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Mark Vanravenswaay | Family Medicine | 3521 Mountain View Dr, Anchorage, AK 99508-1111 | |
| Aaron M Dechant | Chiropractic | Better Health Pain and Wellness Centers, LLC | 729 Northway Dr, Anchorage, AK 99508-2030 |
| Doron Ben Avi | Diagnostic Radiology | Alaska Imaging Associates, LLC | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Even R Evanson | Physician Assistant | Alaska Heart Institute | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Alexis Delgado | Critical Care (intensivists) | Alaska Hospitalist Group LLC | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Suzanne C Grey | Certified Registered Nurse Anesthetist (crna) | Denali Anesthesia, P.C. | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Anthony K Larson | Family Medicine | South Sound Inpatient Physicians Pllc | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| David James Scordino | Emergency Medicine | Denali Emergency Medicine Assoc PC | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Charles L Wilson | Internal Medicine | South Sound Inpatient Physicians Pllc | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Joshua J Sahara | Emergency Medicine | Denali Emergency Medicine Assoc PC | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Find all physicians in zip 99508 | |||
| City | ANCHORAGE |
| Zip Code | 99508 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ANCHORAGE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kim J Kinnebrew.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.