Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kimberly W Stackpole

Individual provider Medical Physician Assistant · NPI 1881001162

Kimberly W Stackpole is a Physician Assistant in Maitland, Florida. Qualified in 2014, 12 years ago. Practices with Halifax Healthcare Systems Inc, a 339-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2014

Practice location Address checks out

2600 Westhall Ln Ste 4
Maitland, FL 32751-7102
Phone: (407) 200-2355
Fax: (407) 200-4947
Show map & directions

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

Additional practice locations (1)

  • 311 N Clyde Morris Blvd, Daytona Beach, FL 32114-2781 — (386) 255-5331

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9108139 (FL)

Record details

NPI number1881001162
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 17, 2014
Last updated in NPPESOctober 6, 2026
Certification dateOctober 6, 2026

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 Halifax Healthcare Systems Inc — 339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Halifax Healthcare Systems Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 339 clinicians in the practice; 12 are shown here.

Other providers in Maitland