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

Mrs. Kimberly Sue Weiss, PA

Individual provider Medical Physician Assistant · NPI 1376789859

Mrs. Kimberly Sue Weiss, PA is a Physician Assistant in Clarksville, Maryland. Qualified in 1994, 32 years ago. Practices with Ennoble Hc Dmv LLC, a 111-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
32
Licensed in
MD
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

6355 Ten Oaks Rd Ste 202
Clarksville, MD 21029-1185
Phone: (410) 531-1440
Fax: (410) 531-1412
Show map & directions

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

Additional practice locations (2)

  • 39 V St Ne, Washington, DC 20002-1329 — (551) 295-8223
  • 962 Wayne Ave Ste 250, Silver Spring, MD 20910-4433 — (551) 295-8223

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C0001240 (MD)

Record details

NPI number1376789859
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 5, 2009
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Ennoble Hc Dmv Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare