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Kimberly Ermacor, PA-C

Physician Assistant in Albany, NY. Individual provider (NPI-1).

NPI number1669966743
StatusActive
Last updated in NPPESMar 23, 2022

Details

NPI
1669966743
Entity type
Individual (NPI-1)
Name
Kimberly Ermacor
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jun 21, 2018
Certification date
Mar 23, 2022
Last updated
Mar 23, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Other names

  • Kimberly Aebli (Former Name)

Practice location

43 New Scotland Ave
Albany, NY 12208-3478

Phone 518-262-9200

Mailing address

43 New Scotland Ave
Albany, NY 12208-3478

Phone 518-262-9200

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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