Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jenna Kimmerle

Individual provider Physician Assistant · NPI 1467053322

Jenna Kimmerle is a Physician Assistant in Shrewsbury, New Jersey. Qualified in 2020, 6 years ago. Practices with The Plastic Surgery Center, a 89-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
6
Licensed in
NJ
In the registry since
2020
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Practice location Address checks out

535 Sycamore Ave
Shrewsbury, NJ 07702-4224
Phone: (732) 741-0970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00592100 (NJ)

Record details

NPI number1467053322
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 5, 2020
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020
Mailing address409 Kettle Creek Rd Apt 3, Toms River, NJ 08753-1977

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice The Plastic Surgery Center — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Shrewsbury