Individual Healthcare Provider
Kristy Elaine Matschullat, PA-C
Provider's NPPES record last updated: May 28, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063702116
- Primary Specialty
- Physician Assistant
- Practice Location
- Fresno, California
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 5:41 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X
Provider-Reported License Information
- Physician Assistant (California)
- PA64279
- Physician Assistant (New Mexico)
- PA2026-0048
- Physician Assistant (Nevada)
- PA0604
- Physician Assistant (Illinois)
- 085003971
- Physician Assistant (Colorado)
- PA.0006468
Practice Locations
Practice Location
1780 E Bullard Ave
Fresno, California 93710-5861
Phone: (800) 492-4227
Additional Practice Location
1425 N Randall Rd
Elgin, Illinois 60123-2300
Phone: (847) 742-9800
Additional Practice Location
17121 S Golden Rd Ste C150
Golden, Colorado 80401-7301
Phone: (720) 506-1332
Record Information
- Enumeration Date
- April 11, 2011
- Provider's NPPES Record Last Updated
- May 28, 2026
- Certification Date
- May 28, 2026
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue