Active NPI
Kristen Vestigo, PA-C
- Physician Assistant
- Statesville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-09401
- Practice address
- 252 Turnersburg Hwy Ste E
Statesville, NC 28625-2755 - Phone
- (610) 595-6540
- NPI assigned
- May 22, 2018
- 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 | 0010-09401 | NC | Primary |
Addresses
Primary practice location
252 Turnersburg Hwy Ste E
Statesville, NC 28625-2755
Mailing address
508 Division St
Cinnaminson, NJ 08077-2148
Phone (484) 366-7519
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- 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
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
122 Okatie Ctr Blvd N
Suite 100
Okatie, SC 29909-3750
Phone (843) 524-3344
1680 Ribaut Rd
Port Royal, SC 29935-2008
Phone (843) 524-3344
Hospital & facility affiliations
- Pruitthealth Home Health-Low Country
- Beaufort County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.95 of 100
- Quality
- 83.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-09401 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients |
Locations
122 Okatie Center Blvd N
Ste 100
Okatie, SC 29909
Phone (843) 706-2185
1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600
Interoperability endpoints
- kristen.vestigo.1@16436.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Beaufort, SC
- NPI 1598713117
-
- Orthopaedic Surgery Physician
- Port Royal, SC
- NPI 1053647164
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
-
- Home Health Agency
- Bluffton, SC
- NPI 1114267325
-
- Home Health Agency
- Aiken, SC
- NPI 1184167264
-
- Home Health Agency
- Ladson, SC
- NPI 1770008377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1992296248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 DIVISION ST",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080772148",
"telephone_number": "484-366-7519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 TURNERSBURG HWY STE E",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286252755",
"telephone_number": "610-595-6540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VESTIGO",
"first_name": "KRISTEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-22",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-09401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.