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

Individual provider Physician Assistant · NPI 1063702116

Kristy Elaine Matschullat, PA-C is a Physician Assistant in Fresno, California. Qualified in 2010, 16 years ago. Practices with Vituity Physician Services PC, a 57-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California, Colorado, Illinois and New Mexico and 1 more.

Years since qualifying
16
Licensed in
CA, CO, IL, NM, NV
In the registry since
2011
Specialties on file
5
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

1780 E Bullard Ave
Fresno, CA 93710-5861
Phone: (800) 492-4227
Fax: (559) 646-3652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 17121 S Golden Rd Ste C150, Golden, CO 80401-7301 — (720) 506-1332
  • 1425 N Randall Rd, Elgin, IL 60123-2300 — (847) 742-9800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA64279 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA2026-0048 (NM)
Physician Assistant Taxonomy 363A00000X · Licence PA0604 (NV)
Physician Assistant Taxonomy 363A00000X · Licence 085003971 (IL)
Physician Assistant Taxonomy 363A00000X · Licence PA.0006468 (CO)

Record details

NPI number1063702116
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 11, 2011
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Vituity Physician Services Pc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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