Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Fusselman, PA-C

Individual provider Physician Assistant · NPI 1669270310

Kimberly Fusselman, PA-C is a Physician Assistant in Santa Fe, New Mexico. Qualified in 2014, 12 years ago. Practices with St Vincent Hospital, a 332-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
12
Licensed in
NM
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

490A W Zia Rd
Santa Fe, NM 87505-6996
Phone: (505) 913-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2025-0024 (NM)

Record details

NPI number1669270310
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 6, 2025
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice St Vincent Hospital — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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