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

Kimberly Theresa Caudell, PA-C

Individual provider Surgical Physician Assistant · NPI 1053275081

Kimberly Theresa Caudell, PA-C is a Physician Assistant in St Petersburg, Florida. Qualified in 2025, 1 year ago. Practices with Ohi West Medical Group LLC, a 200-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
Specialties on file
2
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

725 6th Ave S Ste 3200
St Petersburg, FL 33701-4877
Phone: (727) 553-7431
Fax: (727) 553-7432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 6th St S, St Petersburg, FL 33701-4814 — (727) 823-1234

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9121402 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9121402 (FL)

Record details

NPI number1053275081
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 13, 2025
Last updated in NPPESApril 18, 2026
Certification dateApril 18, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ohi West Medical Group Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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