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

Mrs. Kimberly Nicole Bagwell, PA-C

Individual provider Medical Physician Assistant · NPI 1568613644

Mrs. Kimberly Nicole Bagwell, PA-C is a Physician Assistant in Bel Air, Maryland. Qualified in 2008, 18 years ago. Practices with Nephrology Center of Maryland, PA, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama, Georgia and Maryland.

Years since qualifying
18
Licensed in
AL, GA, MD
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

500 Uppr Chesapeake DR
Bel Air, MD 21014-4324
Phone: (443) 643-1500
Show map & directions

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

Additional practice locations (1)

  • 927 Franklin St Se, Huntsville, AL 35801-4306 — (256) 539-2728

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C08282 (MD)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1081357 (GA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA944 (AL)

Record details

NPI number1568613644
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 7, 2008
Last updated in NPPESMarch 14, 2022
Certification dateFebruary 18, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Nephrology Center Of Maryland, Pa — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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