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

Nicole Kimball, PA-C, CAQ-OBGYN

Individual provider Physician Assistant · NPI 1083257786

Nicole Kimball, PA-C, CAQ-OBGYN is a Physician Assistant in Ukiah, California. Qualified in 2020, 6 years ago. Practices with Planned Parenthood of Northern New England, Inc, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Vermont.

Years since qualifying
6
Licensed in
CA, VT
In the registry since
2019
Specialties on file
2
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

242 Hospital Dr Ste A
Ukiah, CA 95482-4556
Phone: (707) 462-4303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14671 Olympic Dr, Clearlake, CA 95422-9516 — (707) 995-2261

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA59084 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 055.0031689 (VT)

Record details

NPI number1083257786
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , CAQ-OBGYN
Sole proprietorYes
NPI enumeratedOctober 25, 2019
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

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 Planned Parenthood Of Northern New England, Inc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ukiah