Kristy Elaine Matschullat, PA-C - Medicare Physician Assistant in Fresno, CA

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Kristy Elaine Matschullat, PA-C is a medicare enrolled "Physician Assistant" in Fresno, California. She graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Vituity Physician Services Pc and her current practice location is 1780 E Bullard Ave, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (800) 492-4227.

Kristy Elaine Matschullat is licensed to practice in California (license number PA64279) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063702116.

Contact Information

Kristy Elaine Matschullat, PA-C
1780 E Bullard Ave,
Fresno, CA 93710-5861
(800) 492-4227
(559) 646-3652

Map and Direction




Provider's Profile

Full NameKristy Elaine Matschullat
GenderFemale
SpecialityPhysician Assistant
Experience16 Years
Location1780 E Bullard Ave, Fresno, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristy Elaine Matschullat graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1063702116
  • Provider Enumeration Date: 04/11/2011
  • Last Update Date: 05/28/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8022294255
  • Enrollment ID: I20240509003851

Medical Identifiers

Medical identifiers for Kristy Elaine Matschullat such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063702116NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA2026-0048 (New Mexico)Secondary
363A00000XPhysician Assistant PA64279 (California)Primary
363A00000XPhysician Assistant PA0604 (Nevada)Secondary
363A00000XPhysician Assistant 085003971 (Illinois)Secondary
363A00000XPhysician Assistant PA.0006468 (Colorado)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vituity Physician Services Pc074962088858

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristy Elaine Matschullat allows following entities to bill medicare on her behalf.
Entity NameCounty of San Joaquin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801830583
PECOS PAC ID: 6002703436
Enrollment ID: O20040301001287
Entity NameEl Camino Health Medical Network LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164880761
PECOS PAC ID: 6103115183
Enrollment ID: O20160513001617
Entity NameVituity Physician Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124884176
PECOS PAC ID: 0749620888
Enrollment ID: O20240506004038

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristy Elaine Matschullat is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristy Elaine Matschullat, PA-C
2100 Powell Sreet Suite 900,
Emeryville, CA 94608-1803

Ph: (510) 350-2600		Kristy Elaine Matschullat, PA-C
1780 E Bullard Ave,
Fresno, CA 93710-5861

Ph: (800) 492-4227

Reviews and Comments


Physician Assistant Nurses in Fresno, CA

Whitney Ann Johnson, PA-C
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Ericson Mutsuo Hirose, PA
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Phone: 559-443-2682    Fax: 559-443-2681
Nicholas Cico, PA-C
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William Joseph Johncox, P.A.
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Rocio Patricia Naranjo, P.A.
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Phone: 559-436-4500    Fax: 559-436-0500
Charlene Kim Dang, PA-C
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Phone: 559-459-3770    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.