Kimberly Ann Collen, PA
NPI 1104894724ActiveIndividual· Physician Assistant· Latham, NY
Physician Assistant (PA) with Community Care Physicians PLLC, practicing in Latham, New York. 110 Medicare patients in 2024, $8,724 paid; nearly all of their 240 Part D prescriptions were generic (91%).
Overview
| NPI | 1104894724 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Mar 9, 2006 |
| Last updated in NPPES | Jan 29, 2024 |
| Certified by provider | Jan 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 005238-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 110 |
|---|---|
| Services billed | 189 across 24 procedure codes |
| Paid by Medicare | $8,724 |
Part D prescriptions in 2024
| Prescriptions (claims) | 240 · 241 30-day fills |
|---|---|
| Patients | 176 |
| Total drug cost | $4,572 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Community Care Physicians PLLCLatham, NY · 368 clinicians
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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