KRISTINE SUPPLE PA
NPI 1720157233
Physician Assistant in Oxnard, CA

Q: What is Kristine Supple's NPI number?

The NPI number for Kristine Supple is 1720157233. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Q: What is Kristine Supple's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristine Supple was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment

2921 SAVIERS RD, OXNARD, CA 93033(805) 487-5588(805) 487-5589 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kristine Supple Pa NPPES

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

KRISTINE SUPPLE PA (NPI 1720157233) is an individual physician assistant in Oxnard, California, licensed in California (15019) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1720157233

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKRISTINE SUPPLECredential: PA

Location Address2921 SAVIERS RDOxnard, CA 93033-5314

Mailing Address2705 Loma Vista Rd, Suite 205Ventura, CA 93003-1581 · (805) 667-2801 · Fax (805) 641-1706

Phone(805) 487-5588

Fax(805) 487-5589

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateNovember 7, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1720157233 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 CA · 15019

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.

2921 SAVIERS RD, Oxnard, CA 93033

Open in Google Maps ↗

Other Identifiers 7

MedicaidRHM18553HCA

MedicaidRHM08608FCA

Medicare UPINQ63159CA

Medicare ID-Type UnspecifiedWPA15019BCA · Ppin

MedicaidZZT40394FCA

Medicare ID-Type UnspecifiedWPA15019ACA · Ppin

MedicaidRHM08609FCA

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

Kristine Supple Pa 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 ID749295806

PECOS Enrollment IDI20060209000706

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 3

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

37 services19 patients

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 services19 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93033 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

$95.28 typical visit price

range $62.32 – $185.36

Typical copayment $23.82 (range $15.58 – $46.34)

Most-billed visit code 99203

Established Patient

$77.11 typical visit price

range $20.68 – $151.85

Typical copayment $19.27 (range $5.17 – $37.96)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers12 claims12 services$187.53 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DANILO CINCO BERNAL NP

Nurse Practitioner (Family)