Active NPI
Kimberly Kaye Reisinger, PA-C
- Physician Assistant
- Erie, PA
National Provider Identifier
1699648709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA067077
- Practice address
- 7200 Peach St
Erie, PA 16509-4754 - Phone
- (814) 983-0470
- NPI assigned
- Sep 25, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OA007439 | PA | |
| Physician Assistant | 363A00000X | MA067077 | PA | Primary |
Addresses
Primary practice location
7200 Peach St
Erie, PA 16509-4754
Mailing address
7200 Peach St
Erie, PA 16509-4754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA067077 | PA | MD | Physician Assistant |
| OA007439 | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1699648709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 PEACH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165094754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 PEACH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165094754",
"telephone_number": "814-983-0470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISINGER",
"first_name": "KIMBERLY",
"middle_name": "KAYE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-25",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA007439",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA067077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.