KIMBERLY NEWTON P.A.
NPI 1720418189
Physician Assistant - Medical in Boston, MA
NPI Status: Active since November 22, 2013
Contact Information
30 NORTHAMPTON STREET
BOSTON, MA
ZIP 02118
Phone: (617) 433-9601
Fax: (617) 445-6538
- Individual
- Female
- Years of Experience 13
- Physician Assistant
- Medical
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About KIMBERLY NEWTON
This page provides the complete NPI Profile along with additional information for Kimberly Newton, a primary care provider established in Boston, Massachusetts with a medical specialization in Physician Assistant, focusing in medical and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1720418189 assigned on November 2013. The practitioner's primary taxonomy code is 363AM0700X with license number PA4894 (MA). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1720418189
- Provider Name
- KIMBERLY NEWTON P.A.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 30 NORTHAMPTON STREET BOSTON, MA 02118
- Location Phone
- (617) 433-9601
- Location Fax
- (617) 445-6538
- Mailing Address
- 30 NORTHAMPTON STREET BOSTON, MA 02118
- Mailing Phone
- (617) 433-9601
- Mailing Fax
- (617) 445-6538
- Medical School Name
- OTHER
- Graduation Year
- 2013
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-22-2013
- Last Update Date
- 10-22-2015
- Code Navigator
A primary care provider (PCP) like Kimberly Newton sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA4894
- License State
- MA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kimberly Newton is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Kimberly Newton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 840423000
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20140424000574
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for KIMBERLY NEWTON P.A.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 4 | 1 | 8 | 1 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 8 | 1 | 16 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 8 + 1 + 1 + 6 + 1 + 1 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1720418189 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1538136338 | MARY GLOVER N.P. Individual | Nurse Practitioner (Adult Health) | 30 NORTHAMPTON STREET BOSTON, MA 02118 (617) 433-9601 |
| 1053389486 | DEANNA WILLBUR SUMNER N.P. Individual | Nurse Practitioner (Adult Health) | 30 NORTHAMPTON STREET BOSTON, MA 02118 (617) 433-9601 |
| 1568421923 | MS. NINA RUTH LEV P.A. Individual | Physician Assistant | 30 NORTHAMPTON STREET BOSTON, MA 02118 (617) 433-9601 |
| 1083644256 | MS. ANN F CASTLE R.N. Individual | Registered Nurse (Psychiatric/Mental Health) | 30 NORTHAMPTON STREET BOSTON, MA 02118 (617) 433-9601 |
| 1700805173 | KIM M ZIMMERMAN OT Individual | Occupational Therapist | 30 NORTHAMPTON STREET BOSTON, MA 02118 (617) 433-9601 |
| 1164534624 | DR. MARILYN R. CLARK M.D. Individual | Internal Medicine | 30 NORTHAMPTON STREET BOSTON, MA 02118 (617) 433-9601 |
| 1033292636 | MARC EMMERICH M.D. Individual | Internal Medicine | 30 NORTHAMPTON STREET BOSTON, MA 02118 (617) 433-9601 |
| 1659442994 | VADRA WARD TABB N.P. Individual | Nurse Practitioner (Adult Health) | 30 NORTHAMPTON STREET BOSTON, MA 02118 (617) 433-9601 |
| 1962561860 | WENDY SKELTON P.A. Individual | Physician Assistant | 30 NORTHAMPTON STREET BOSTON, MA 02118 (617) 433-9601 |
| 1164547311 | ANNE KEARNS PT Individual | Physical Therapist | 30 NORTHAMPTON STREET BOSTON, MA 02118 (617) 433-9601 |
| 1881894749 | MS. NANCY POWELL LICSW Individual | Social Worker (Clinical) | 30 NORTHAMPTON STREET BOSTON, MA 02118 (617) 433-9601 |
| 1730328477 | MRS. EVELYNE MALFROY-CAMINE N.P. Individual | Nurse Practitioner | 30 NORTHAMPTON STREET BOSTON, MA 02118 (617) 433-9601 |
| 1689807786 | JIYIN CHOU N.P. Individual | Nurse Practitioner (Gerontology) | 30 NORTHAMPTON STREET BOSTON, MA 02118 (617) 433-9601 |
| 1659675437 | MS. SIGRID KATHERINE BERGENSTEIN N.P. Individual | Nurse Practitioner (Primary Care) | 30 NORTHAMPTON STREET BOSTON, MA 02118 (617) 433-9601 |
| 1962700526 | JOAN ROBLES N.P. Individual | Nurse Practitioner (Adult Health) | 30 NORTHAMPTON STREET BOSTON, MA 02118 (617) 433-9601 |
| 1699055830 | KATHERINE FELICIO N.P. Individual | Nurse Practitioner (Family) | 30 NORTHAMPTON STREET BOSTON, MA 02118 (617) 433-9601 |
| 1861778193 | MARYANN M GIRARDI PT Individual | Physical Therapist | 30 NORTHAMPTON STREET BOSTON, MA 02118 (617) 433-9601 |
| 1477802205 | MR. MICHAEL DAVID TENENBAUM N.P. Individual | Nurse Practitioner (Adult Health) | 30 NORTHAMPTON STREET BOSTON, MA 02118 (617) 433-9601 |
| 1760732820 | TARYN FARO MCGRATH N.P. Individual | Nurse Practitioner (Family) | 30 NORTHAMPTON STREET BOSTON, MA 02118 (617) 433-9601 |
| 1023438801 | MRS. STACIE SELFRIDGE OT Individual | Occupational Therapist | 30 NORTHAMPTON STREET BOSTON, MA 02118 (617) 433-9601 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720418189, enumerated in the NPI registry as an "individual" on November 22, 2013
The provider is located at 30 Northampton Street Boston, Ma 02118 and the phone number is (617) 433-9601
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider has more than 13 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on November 22, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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