Kimberly Gillock, PA
NPI 1104096569ActiveIndividual· Physician Assistant· Aurora, CO
Physician Assistant (PA) in Aurora, Colorado, licensed in CO, with an NPI issued in March 2008. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1104096569 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Mar 1, 2008 |
| Last updated in NPPES | Jul 24, 2020 |
| Certified by provider | Jul 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2764 | CO |
| Physician Assistant, Medical | 363AM0700X | PA.0002764 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CO) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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