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

Individual provider Physician Assistant · NPI 1962057166

Miss. Kimberly Jean Hanners, PA-C is a Physician Assistant in Mesa, Arizona. Qualified in 2020, 6 years ago. Practices with Nextcare Arizona I Jv LLC, a 301-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, Montana and Pennsylvania.

Years since qualifying
6
Licensed in
AZ, MT, PA
In the registry since
2019
Specialties on file
3
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

1066 N Power Rd Ste 101
Mesa, AZ 85205-5709
Phone: (480) 807-0130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 801 N 29th St, Billings, MT 59101-0905 — (406) 238-2500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11022 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 141908 (MT)
Physician Assistant Taxonomy 363A00000X · Licence MA062451 (PA)

Record details

NPI number1962057166
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2019
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Nextcare Arizona I Jv Llc — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

Other providers in Mesa