MISS KIRSTEN SHIMIZU PA
NPI 1942867163
Physician Assistant in Sacramento, CA

Active since May 22, 2019PECOS EnrolledAccepts Medicare Assignment
2825 CAPITOL AVE, SACRAMENTO, CA 95816(916) 887-1230 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 20, 2022, Feb 11, 2022, Aug 13, 2019 and 1 more (4 updates tracked since 2019).

About Miss Kirsten Shimizu Pa NPPES

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

MISS KIRSTEN SHIMIZU PA (NPI 1942867163) is an individual physician assistant in Sacramento, California, licensed in California (PA56844) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1942867163
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS KIRSTEN SHIMIZUCredential: PA
Location Address2825 CAPITOL AVESacramento, CA 95816
Mailing Address1800 Harrison St, 7th FlOakland, CA 94612-3429 · (510) 625-4101 · Fax (877) 738-4262
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 22, 2019
Last NPPES UpdateApril 20, 20224 updates tracked since enumeration
NPPES CertifiedApril 20, 2022
NPI 1942867163 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 · PA56844
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.
2825 CAPITOL AVE, Sacramento, CA 95816

Secondary Practice Location 1

Location 17658 Kavooras DrSacramento, CA 95831-4206 · Phone (916) 873-5590

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

Miss Kirsten Shimizu 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 ID6709113244
PECOS Enrollment IDI20190807001106
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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 20

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

Pharmacist
2825 CAPITOL AVE
SACRAMENTO, CA 95816
Obstetrics & Gynecology (Obstetrics)
2825 CAPITOL AVE
SACRAMENTO, CA 95816
Pharmacist (Emergency Medicine)
2825 CAPITOL AVE
SACRAMENTO, CA 95816
Registered Nurse (Administrator)
2825 CAPITOL AVE
SACRAMENTO, CA 95816
Pediatrics (Pediatric Critical Care Medicine)
2825 CAPITOL AVE
SACRAMENTO, CA 95816
Pediatrics
2825 CAPITOL AVE
SACRAMENTO, CA 95816
Registered Nurse
2825 CAPITOL AVE
SACRAMENTO, CA 95816
Physical Therapist
2825 CAPITOL AVE
SACRAMENTO, CA 95816

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirsten Shimizu's NPI number?

The NPI number for Kirsten Shimizu is 1942867163. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Where is Kirsten Shimizu located?

Kirsten Shimizu practices at 2825 Capitol Ave, Sacramento, CA 95816. The listed phone number is (916) 887-1230.

What is Kirsten Shimizu's specialty?

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

Is Kirsten Shimizu enrolled in Medicare?

Yes. Kirsten Shimizu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kirsten Shimizu was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.