Individual provider Active NPI

Regina C K Eichenberger, PA-C, MPH, MS

  • Physician Assistant
  • Valhalla, NY
National Provider Identifier
1043445760
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
008159-1 Issued in NY
Practice address
100 Woods Rd
Valhalla, NY 10595-1530
Phone
(914) 614-4343
NPI assigned
May 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 008159-1 NY Primary
Physician Assistant 363A00000X 002266 CT

Addresses

Primary practice location

100 Woods Rd
Valhalla, NY 10595-1530

Mailing address

400 Columbus Ave Ste 200E
Valhalla, NY 10595-1392
Phone (914) 614-4343

Other names 1

  • Ms. Regina Celeste Kistner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260601002745 NY Practitioner - Physician Assistant 0042780983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Baylor College of Medicine, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 Columbus Ave
Suite 200E
Valhalla, NY 10595-1396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
002266CTMDSpeech-Language Pathologist
008159-1NYMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: regina.eichenberger.p1@direct.cwpw.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1043445760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 COLUMBUS AVE STE 200E",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951392",
            "telephone_number": "914-614-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODS RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951530",
            "telephone_number": "914-614-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHENBERGER",
        "first_name": "REGINA",
        "middle_name": "C K",
        "name_prefix": "Ms.",
        "credential": "PA-C, MPH, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008159-1",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "KISTNER",
            "middle_name": "CELESTE",
            "prefix": "MS.",
            "credential": "PA-C, MPH, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.