Individual provider Active NPI

Kirsten Elise Blessing, PA-C

  • Physician Assistant
  • Eureka, CA
National Provider Identifier
1144868803
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
57814 Issued in CA
Practice address
2440 23Rd St Ste B
Eureka, CA 95501-3203
Phone
(707) 672-0026
NPI assigned
Dec 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 57814 CA Primary

Addresses

Primary practice location

2440 23Rd St Ste B
Eureka, CA 95501-3203

Mailing address

141 Dana LN
Eureka, CA 95503-9551

Other practice location 1

2440 23rd St Ste A
Eureka, CA 95501-3203
Phone (707) 298-2011

Other practice location 2

141 Dana Ln
Eureka, CA 95503-9551
Phone (707) 601-7414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200910001335 CA Practitioner - Physician Assistant 4284052069 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
57814CAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: kirsten.blessing.p1@direct.rrhc.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": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1144868803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 DANA LN",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955039551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 23RD ST STE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013203",
            "telephone_number": "707-672-0026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2440 23rd St Ste A",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955013203",
            "country_code": "US",
            "telephone_number": "707-298-2011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Dana Ln",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955039551",
            "country_code": "US",
            "telephone_number": "707-601-7414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLESSING",
        "first_name": "KIRSTEN",
        "middle_name": "ELISE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.