Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Kimberly A Mizack, P.A.
Physician Assistant in Salem, VA · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1639251762
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Registry record
Entity type Individual (Type 1)
Name Kimberly A Mizack
Credential P.A.
Sex Female
Practice address 1802 Braeburn Dr, Salem, VA, 24153
Phone (540) 772-3530
Fax (540) 776-2036
Enumeration date Oct 19, 2006
Last updated in NPPES Feb 10, 2022
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 0110002410 (VA) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639251762 | Other | VA | BLACK LUNG |
| 1639251762 | Other | VA | INTOTAL |
| 540506332108 | Other | VA | TRICARE |
| 1639251762 | Other | VA | OPTIMA HEALTH PLAN |
| 1639251762 | Other | VA | MEDICAID QMB |
| P01535314 | Other | VA | RAILROAD MEDICARE |
| 1639251761 | Other | VA | AETNA |
| 1639251762 | Other | VA | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY |
| 1639251762 | Other | VA | HUMANA MEDICARE |
| P00803340 | Other | VA | RAILROAD MEDICARE |
| 1639251762 | Other | VA | ANTHEM MEDIGAP |
| 1639251762 | Other | VA | UMWA |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Kimberly Mizack?
The National Provider Identifier (NPI) for Kimberly Mizack is 1639251762, a Type 1 (individual) record in the CMS NPPES registry.
Where does Kimberly Mizack practice?
The practice location on file with NPPES is in Salem, VA. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all → Mark Hanabury Otolaryngology Physician · Salem, VA NPI 1134121338 Alfred Durham Orthopaedic Surgery Physician · Salem, VA NPI 1306841887 George Baron Anesthesiology Physician · Salem, VA NPI 1588663397 Mary Bibro Specialist · Salem, VA NPI 1437158169 Luthur Beazley Pediatrics Physician · Salem, VA NPI 1841299575 Robyn Hakanson Orthopaedic Surgery Physician · Salem, VA NPI 1124012117 Joseph Artusio Physician Assistant · Salem, VA NPI 1982699427 Louis Gualdoni Surgical Physician Assistant · Salem, VA NPI 1518949544
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-02-10.