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

Kimberly Bardall

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1619714516

Kimberly Bardall is a Nurse Practitioner in Danville, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Geisinger Clinic, a 3,413-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

100 N Academy Ave
Danville, PA 17822-0001
Phone: (570) 214-4745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP030028 (PA)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence SP030028 (PA)

Record details

NPI number1619714516
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 9, 2024
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing address208 Lower Mulberry St, Danville, PA 17821-1521

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Danville