Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Jo Barrett, PA-C

Individual provider Physician Assistant · NPI 1720262827

Kimberly Jo Barrett, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2007, 19 years ago. Practices with Cherry Street Services Inc, a 58-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

421 Fountain St NE
Grand Rapids, MI 49503-3334
Phone: (616) 776-5120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1515 W Lake St, Hanover Park, IL 60103-4896 — (630) 830-5926

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-003058 (IL)

Record details

NPI number1720262827
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 26, 2007
Last updated in NPPESNovember 14, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Cherry Street Services Inc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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