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

Miss. Kimberly E Stephens, PA-C

Individual provider Physician Assistant · NPI 1295626083

Miss. Kimberly E Stephens, PA-C is a Physician Assistant in Vineland, New Jersey. Qualified in 2024, 2 years ago. Practices with Excelcare Alliance LLC, a 20-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2025
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

2020 E Chestnut Ave
Vineland, NJ 08361-8432
Phone: (856) 563-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00914600 (NJ)

Record details

NPI number1295626083
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2025
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Excelcare Alliance Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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