Individual provider Active NPI

Kenneth A Nisbet, PA-C

  • Physician Assistant
  • Santa Barbara, CA
National Provider Identifier
1639220981
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 16718 Issued in CA
Practice address
401 E Carrillo St
Santa Barbara, CA 93101-1460
Phone
(805) 563-3307
Fax
(805) 563-3827
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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 PA 16718 CA Primary

Addresses

Primary practice location

401 E Carrillo St
Santa Barbara, CA 93101-1460

Mailing address

401 E Carrillo St
Santa Barbara, CA 93101-1460
Phone (805) 563-3307

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
I20040311001052 CA Practitioner - Physician Assistant 6507755220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2725 16TH St
Bakersfield, CA 93301-3355

401 E Carrillo St
Santa Barbara, CA 93101-1460

PO Box
Suite 3559
San Luis Obispo, CA 93403-3559

Merit-based Incentive Payment System (MIPS)

Final score
74.77 of 100Reported as group
Quality
44.82
Improvement activities
40
Cost
72.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16718CAMDFamily Medicine Physician
PA 16718CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Medical Group of California, Inc Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kenneth.nisbet.1@31713.direct.athenahealth.com
  • Direct secure messaging: kennethnisbet_1680@tso.omnimddirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1639220981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E CARRILLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011460",
            "telephone_number": "805-563-3307",
            "fax_number": "805-563-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CARRILLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011460",
            "telephone_number": "805-563-3307",
            "fax_number": "805-563-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISBET",
        "first_name": "KENNETH",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 16718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.