Kylie Risendal, PA-C
NPI 1285067868 · Physician Assistant · Fishersville, VA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kylie Risendal, PA-C is a Physician Assistant provider in Fishersville, VA (NPI 1285067868).
Provider details
- NPI number
- 1285067868
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2040 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 415 Morris St Ste 400Charleston, WV 25301-1854Phone: (304) 344-3551Fax: (304) 342-6927
Registry dates
- Enumerated
- 2013-08-19
- Last updated
- 2025-05-12
- Certified
- 2025-05-12
Frequently asked questions
- What is Kylie Risendal's NPI number?
- Kylie Risendal's National Provider Identifier (NPI) is 1285067868, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kylie Risendal's specialty?
- Kylie Risendal is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kylie Risendal located?
- Kylie Risendal's practice location on file with NPPES is 70 Medical Center Cir Ste 103, Fishersville, VA 22939-2273.
- What is Kylie Risendal's phone number?
- The practice phone number listed in the NPPES registry for Kylie Risendal is (540) 245-7400.
- Does Kylie Risendal accept Medicare?
- Kylie Risendal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kylie Risendal's NPI active?
- Yes — Kylie Risendal's NPI (1285067868) is active in the NPPES registry as of the last update on 2025-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.