Kimberly W. Stackpole
NPI 1881001162ActiveIndividual· Physician Assistant, Medical· Maitland, FL
Physician Assistant, Medical with Halifax Healthcare Systems Inc, practicing in Maitland, Florida. Part D covered 204 prescriptions written in 2024, 90% of them generic. Lists Halifax Health Medical Center as a hospital affiliation.
Overview
| NPI | 1881001162 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 17, 2014 |
| Last updated in NPPES | Oct 6, 2026 |
| Certified by provider | Oct 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA9108139 | FL |
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 (FL) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 204 · 205 30-day fills |
|---|---|
| Patients | 117 |
| Total drug cost | $9,379 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Halifax Healthcare Systems IncDaytona Bch, FL · 356 clinicians
Hospital affiliation
- Halifax Health Medical CenterDaytona Beach, FL
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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