MRS. KIMBERLY W REISENAUER P.A. NPI 1023149101

NPI Information

  • NPI: 1023149101
  • Provider Name: MRS. KIMBERLY W REISENAUER, P.A.
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 325 BROAD ST
    SUITE 100
    SUMTER, SC
    ZIP 29150
  • Phone: (803) 773-5227

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NPI Details

MRS. Kimberly W Reisenauer, P.A. is a physician assistant in Sumter, SC with 25 years of experience. The provider is 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. MRS. Kimberly W Reisenauer, P.A. NPI is 1023149101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2000

The provider's business location address is:

325 BROAD ST
SUITE 100
SUMTER, SC
ZIP 29150-167
Phone: (803) 773-5227
Fax: (803) 774-5400

The NPI 1023149101 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Liver function blood test panel (HCPCS:80076)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Hemoglobin a1c level (HCPCS:83036)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Vitamin d-3 level (HCPCS:82306)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes (HCPCS:G0446)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Urine microalbumin (protein) analysis (HCPCS:82044)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Face-to-face behavioral counseling for obesity, 15 minutes (HCPCS:G0447)

The enumeration date for this NPI number is 3/8/2007 and was last updated on 2/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant638SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10109PAMEDICAIDSOUTH CAROLINA
2P17947MEDICARE UPINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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