Active NPI
Kaylee Marie Riesterer, PA-C
- Physician Assistant
- Salem, OR
National Provider Identifier
1437507845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA184682
- Practice address
- 1430 Commercial St SE
Salem, OR 97302-4308 - Phone
- (503) 364-5033
- NPI assigned
- May 25, 2016
- Last updated
- Feb 19, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA184682 | OR | Primary |
Addresses
Primary practice location
1430 Commercial St SE
Salem, OR 97302-4308
Mailing address
1430 Commercial St SE
Salem, OR 97302-4308
Phone (503) 910-9272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Oregon Health Sciences University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1430 Commercial St SE
Salem, OR 97302-4308
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keith C. Neaman, MD, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Plastic Surgery Physician
- Salem, OR
- NPI 1568669273
-
dba Neaman Hand Therapy
- Plastic and Reconstructive Surgery Physician
- Salem, OR
- NPI 1780259382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1437507845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 COMMERCIAL ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973024308",
"telephone_number": "503-910-9272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 COMMERCIAL ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973024308",
"telephone_number": "503-364-5033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIESTERER",
"first_name": "KAYLEE",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-25",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA184682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.