KIMBERLY FUSSELMAN PA-C
NPI 1669270310
Physician Assistant in Santa Fe, NM

Q: What is Kimberly Fusselman's NPI number?

The NPI number for Kimberly Fusselman is 1669270310. It was assigned to this individual provider in the NPPES registry on March 6, 2025. The provider is also known as Kimberly Scott.

Q: What is Kimberly Fusselman's specialty?

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

Active since March 06, 2025PECOS EnrolledAccepts Medicare Assignment

490A W ZIA RD, SANTA FE, NM 87505(505) 913-8900 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kimberly Fusselman Pa-c NPPES

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

KIMBERLY FUSSELMAN PA-C (NPI 1669270310) is an individual physician assistant in Santa Fe, New Mexico, licensed in New Mexico (PA2025-0024) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Christus St Vincent Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1669270310

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKIMBERLY FUSSELMANCredential: PA-C

Location Address490A W ZIA RDSanta Fe, NM 87505-6996

Mailing Address2317 Dietz Farm Rd NwAlbuquerque, NM 87107-3117 · (505) 715-0008

Phone(505) 913-8900

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 6, 2025

NPPES CertifiedMarch 6, 2025

✔ NPI 1669270310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NM · PA2025-0024

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.

490A W ZIA RD, Santa Fe, NM 87505

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Other Names 1

Former Name (1)Kimberly Scott

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

Kimberly Fusselman 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 ID1355853813

PECOS Enrollment IDI20250622000076

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320002

Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87505 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

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 13

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

CAROLYN SUE PHILLIPS CNP

Nurse Practitioner