NPIMap

Individual provider Active NPI

Andrea Kremsreiter, PA-C

  • Physician Assistant
  • Solvang, CA
National Provider Identifier
1164880811
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA55833 Issued in CA
Practice address
2040 Viborg Rd Ste 140
Solvang, CA 93463
Phone
(805) 686-5370
NPI assigned
Feb 9, 2016
Last updated
Oct 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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 PA55833 CA Primary
Physician Assistant 363A00000X 3937-23 WI

Addresses

Primary practice location

2040 Viborg Rd Ste 140
Solvang, CA 93463

Mailing address

PO Box 62106
Santa Barbara, CA 93160-2106

Other practice location 1

801 Braxton Pl
Madison, WI 53715-1415
Phone (715) 367-0855

Other identifiers 1

IdentifierTypeStateIssuer
PA55833OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181119001108 CA Practitioner - Physician Assistant 8224382833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sansum ClinicGroup PAC ID 3678471976, 320 clinicians

Practice addresses (Care Compare)

2040 Viborg Rd
Suite 140
Solvang, CA 93463-2272
Phone (805) 681-1761

215 Pesetas LN
Santa Barbara, CA 93110-1416
Phone (805) 681-7800

300 W Pueblo St
Santa Barbara, CA 93105-4311
Phone (805) 681-1761

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA55833CAMDPhysician Assistant
3937-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic CurrentSince Sep 17, 2018 Accepting new patients
Sansum Clinic CurrentSince Sep 17, 2018 Accepting new patients
Lompoc Valley Medical Center Past Accepting new patients
Sansum Clinic Past Accepting new patients
Santa Ynez Valley Cottage Hospital, Inc Past Accepting new patients

Locations

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

2040 Viborg Rd
Ste 140
Solvang, CA 93463
Phone (805) 686-5370

Interoperability endpoints

  • Direct secure messaging: akremsreiter760584@hisp.ehr.sutterhealth.org

Organizations & group practices 6

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1164880811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62106",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931602106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 VIBORG RD STE 140",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "93463",
            "telephone_number": "805-686-5370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Braxton Pl",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537151415",
            "country_code": "US",
            "telephone_number": "715-367-0855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREMSREITER",
        "first_name": "ANDREA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA55833",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3937-23",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA55833",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Solvang, CA

Sources for this page

Verify at the official NPI Registry.