KRISTY ELAINE MATSCHULLAT (PA-C) – Physician Assistant, NPI 1063702116
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,190 PHYSICIAN ASSISTANT in CO
Provider Addresses for KRISTY ELAINE MATSCHULLAT (PA-C)
17121 S GOLDEN RD STE C150
GOLDEN, CO 804017301
Phone: (720) 506-1332
Type: Location
2100 POWELL SREET SUITE 900
EMERYVILLE, CA 946081803
Phone: (510) 350-2600
Fax: (510) 879-9100
Type: Mailing
17121 S Golden Rd Ste C150
Golden, CO 804017301
Phone: (720) 506-1332
Type: Location
1425 N Randall Rd
Elgin, IL 601232300
Phone: (847) 742-9800
Type: Location
1780 E BULLARD AVE
FRESNO, CA 937105861
Phone: (800) 492-4227
Fax: (559) 646-3652
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-07-20 • Largest payer in this snapshot: Optos, Inc. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Optos, Inc. | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-05-09
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110523000815 | I | Physician Assistant | IL | TBD |
| I20201113002592 | I | Physician Assistant | CO | TBD |
| I20230502001253 | I | Physician Assistant | NV | TBD |
| I20240509003851 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80401)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| Physician Assistant | CA | |
| Family Practice | CA | |
| Physician Assistant | CA | |
| Family Practice | IL | |
| Nurse Practitioner | CA | |
| Internal Medicine, Family Practice | CA | |
| Family Practice | CA | |
| Family Practice | CA | |
| Physician Assistant | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.