Kristin Amanda Buschemeyer, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA08078 Issued in TX

Practice address

418 Winged Foot Dr
Lufkin, TX 75901-7741

Phone

(203) 641-5358

NPI assigned

Oct 10, 2007

Last updated

Jan 15, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kristin A Maartmann-Moe Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Kristin Buschemeyer, PA-C, PLLC

  • Physician Assistant
  • Lufkin, TX
  • NPI 1093145682
  Authorized official Same address or phone
• Cary Orthopaedic and Sports Medicine Specialists, P.a.

  • Specialist
  • Cary, NC
  • NPI 1447289731
  NPD (past)

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1568650968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 WINGED FOOT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759017741",
            "telephone_number": "203-641-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 WINGED FOOT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759017741",
            "telephone_number": "203-641-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCHEMEYER",
        "first_name": "KRISTIN",
        "middle_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA08078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "MAARTMANN-MOE",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Burke Center
• Shelby Burnett, RN
• Teresa Burrous, ASST IN SLP
• Jennifer Lynn Burson
• Debra Kathleen Burton, PH.D.,LPC,LMFT
• Robert Busuego, MD
• Jennifer Butler, RN, FNP-C
• Vitaly Buza, M.D.
• Richard Dale Byler, DDS
• Cherokee Raine Bynum, LVN

• Surgical Physician Assistant in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.