Individual provider Active NPI

Kaitlin Wright Hensley, PA-C

  • Physician Assistant
  • Marysville, CA
National Provider Identifier
1407565641
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
61984 Issued in CA
Practice address
726 4TH St
Marysville, CA 95901-5656
Phone
(530) 749-4300
NPI assigned
Nov 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 61984 CA Primary

Addresses

Primary practice location

726 4TH St
Marysville, CA 95901-5656

Mailing address

4210 Douglas Blvd Ste 100
Granite Bay, CA 95746-5912

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
I20221205001498 CA Practitioner - Physician Assistant 4284003864 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of California, Davis School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Physicians Network 628 clinicians
Peach Tree Healthcare 32 clinicians

Practice addresses (Care Compare)

1007 Live Oak Blvd
Suite B2
Yuba City, CA 95991-3454
Phone (530) 671-8718

520 Bogue Rd
Yuba City, CA 95991-9242
Phone (530) 844-5660

5730 Packard Ave
Suite 500
Marysville, CA 95901-7119
Phone 53074932421124

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61984CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-California CurrentSince Dec 1, 2022 Accepting new patients
Peach Tree Healthcare CurrentSince Sep 27, 2025 Accepting new patients
Peach Tree Healthcare CurrentSince Sep 27, 2025 Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 1, 2025 Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 1, 2025 Accepting new patients
Cep America - California CurrentSince Dec 1, 2022 Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

9980 Live Oak Blvd
Live Oak, CA 95953
Phone (503) 749-3242

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

1114 Yuba St
Ste 220
Marysville, CA 95901
Phone (240) 816-4358

5730 Packard Ave
Ste 500
Marysville, CA 95901
Phone (530) 741-3242

3810 Rosin Ct
Ste 100
Sacramento, CA 95834
Phone (530) 413-9627

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

520 Bogue Rd
Yuba City, CA 95991
Phone (530) 844-5660

1007 Live Oak Blvd
Ste B2
Yuba City, CA 95991
Phone (530) 671-8718

Interoperability endpoints

  • Direct secure messaging: kaitlin.hensley.p1@direct.peachtreehealth.nextgenshare.com

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1407565641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 DOUGLAS BLVD STE 100",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957465912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 4TH ST",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015656",
            "telephone_number": "530-749-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "KAITLIN",
        "middle_name": "WRIGHT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "61984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

Verify at the official NPI Registry.