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

Kimberly Anne Friesema, PA

Individual provider Physician Assistant · NPI 1275924755

Kimberly Anne Friesema, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2014, 12 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

125 Queens Rd Ste 330
Charlotte, NC 28204-3419
Phone: (704) 384-5043
Fax: (704) 384-8895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1000 Blythe Blvd, Charlotte, NC 28203-5812 — (704) 355-0720
  • 4525 Cameron Valley Pkwy, Charlotte, NC 28211-4369 — (704) 355-5100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-05581 (NC)

Record details

NPI number1275924755
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 5, 2015
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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