KRISTY ELAINE MATSCHULLAT PA-C
NPI 1063702116
Physician Assistant in Fresno, CA

Q: What is Kristy Matschullat's NPI number?

The NPI number for Kristy Matschullat is 1063702116. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Q: What is Kristy Matschullat's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since April 11, 2011PECOS EnrolledAccepts Medicare Assignment

1780 E BULLARD AVE, FRESNO, CA 93710(800) 492-4227(559) 646-3652 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2026, Oct 10, 2024, May 2, 2024 and 2 more (5 updates tracked since 2020).

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About Kristy Elaine Matschullat Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTY ELAINE MATSCHULLAT PA-C (NPI 1063702116) is an individual physician assistant in Fresno, California, licensed in California (PA64279) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1063702116

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKRISTY ELAINE MATSCHULLATCredential: PA-C

Location Address1780 E BULLARD AVEFresno, CA 93710-5861

Mailing Address2100 Powell Sreet Suite 900Emeryville, CA 94608-1803 · (510) 350-2600 · Fax (510) 879-9100

Phone(800) 492-4227

Fax(559) 646-3652

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 11, 2011

Last NPPES UpdateMay 28, 20265 updates tracked since enumeration

NPPES CertifiedMay 28, 2026

✔ NPI 1063702116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in CA · PA64279✔ Licensed in NM · PA2026-0048✔ Licensed in NV · PA0604✔ Licensed in IL · 085003971✔ Licensed in CO · PA.0006468

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1780 E BULLARD AVE, Fresno, CA 93710

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristy Elaine Matschullat Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022294255

PECOS Enrollment IDI20240509003851

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

26 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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