Kimberly Theresa Caudell, PA-C
NPI 1053275081ActiveIndividual· Physician Assistant, Surgical· St Petersburg, FL
Physician Assistant, Surgical (PA-C) with Ohi West Medical Group LLC, practicing in St Petersburg, Florida. Enrolled in Medicare as practitioner - physician assistant. Lists Orlando Health Bayfront Hospital as a hospital affiliation.
Overview
| NPI | 1053275081 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Dec 13, 2025 |
| Last updated in NPPES | Apr 18, 2026 |
| Certified by provider | Apr 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA9121402 | FL |
| Physician Assistant | 363A00000X | PA9121402 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (FL) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Ohi West Medical Group LLCSt Petersburg, FL · 202 clinicians
Hospital affiliation
- Orlando Health Bayfront HospitalSaint Petersburg, FL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant, Surgical providers in St Petersburg
- 1659769610
- 1174177927
- 1194487157
- 1831868132
- 1275162216
- 1518978592
- 1023966819
- 1225789548
- 1700875960
- 1114328929
- 1962499723
- 1760720866