Individual provider Active NPI

Kirsten Alyse Patterson, PA

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1780036392
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
60663 Issued in CA
Practice address
333 1St St Ste a
San Francisco, CA 94105-2661
Phone
(415) 840-0560
NPI assigned
Jul 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110-008460 VA
Physician Assistant 363A00000X PA9112674 FL
Physician Assistant 363A00000X 2572 SC
Medical Physician Assistant 363AM0700X 032621-01 NY
Medical Physician Assistant 363AM0700X PA9112674 CA
Physician Assistant 363A00000X 60663 CA Primary

Addresses

Primary practice location

333 1St St Ste a
San Francisco, CA 94105-2661

Mailing address

1600 Anderson Ave
Chattanooga, TN 37404-4312
Phone (912) 429-7166

Other practice location 1

156 William St Rm 303
New York, NY 10038-5307
Phone (888) 803-3370

Other practice location 2

415 N Crescent Dr Ste 320
Beverly Hills, CA 90210-6813
Phone (415) 840-0560

Other practice location 3

2800 Eisenhower Ave Ste 220
Alexandria, VA 22314-4587
Phone (415) 840-0560

Other practice location 4

400 N Tampa St Fl 15
Tampa, FL 33602-4730
Phone (415) 840-0560

Other practice location 5

2039 Savannah Hwy
Charleston, SC 29407-6273
Phone (843) 465-9248

Other practice location 6

4440 Pga Blvd Ste 600
Palm Beach Gardens, FL 33410-6542
Phone (415) 840-0560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, CA, NY, FL, DC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20160831002809 SC Practitioner - Physician Assistant 6103112099 Reassigns benefits to 2 organizations
I20240806003352 CA Practitioner - Physician Assistant 6103112099 Reassigns benefits to 1 organization
I20250609002498 NY Practitioner - Physician Assistant 6103112099 Reassigns benefits to 1 organization
I20250731002563 FL Practitioner - Physician Assistant 6103112099 Reassigns benefits to 1 organization
I20251113004325 DC Practitioner - Physician Assistant 6103112099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 1St St
Suite a
San Francisco, CA 94105-3060

440 Franklin St
Bloomfield, NJ 07003-4378

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2572SCMDCounselor
60663CAMDOrthodontics and Dentofacial Orthopedic Dentist
PA9112674FLMDPhysician Assistant
0110-008460VAMDPhysician Assistant
PA9112674CAMDMedical Physician Assistant
032621-01NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network CurrentSince Aug 8, 2016 Accepting new patients
Medcare Express - North Charleston LLC CurrentSince Jan 19, 2019 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Aug 8, 2016 Accepting new patients
The Center for Urgent Care, LLC PastSince May 1, 2020 Accepting new patients

Locations

4278 Ladson Rd
Ladson, SC 29456
Phone (843) 203-2240

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

8740 Rivers Ave
North Charleston, SC 29406
Phone (843) 337-2406

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

Interoperability endpoints

  • Direct secure messaging: kirsten.patterson@420883186974724.direct.elationemr.com

Organizations & group practices 8

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": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1780036392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ANDERSON AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374044312",
            "telephone_number": "912-429-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 1ST ST STE A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941052661",
            "telephone_number": "415-840-0560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 William St Rm 303",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100385307",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 N Crescent Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902106813",
            "country_code": "US",
            "telephone_number": "415-840-0560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Eisenhower Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223144587",
            "country_code": "US",
            "telephone_number": "415-840-0560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N Tampa St Fl 15",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336024730",
            "country_code": "US",
            "telephone_number": "415-840-0560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2039 Savannah Hwy",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294076273",
            "country_code": "US",
            "telephone_number": "843-465-9248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4440 Pga Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334106542",
            "country_code": "US",
            "telephone_number": "415-840-0560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KIRSTEN",
        "middle_name": "ALYSE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-008460",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112674",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2572",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "032621-01",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA9112674",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "60663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.