Active NPI 1720157233 Individual Practitioner Female Practitioner

Kristine Supple , PA

Physician Assistant • Oxnard, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kristine Supple, PA is a certified Physician Assistant practicing in Oxnard, CA. With approximately 32 years of clinical experience since completing medical education in 1994, Kristine Supple delivers high-quality medical care to the local community at 2921 SAVIERS RD.

Kristine Supple is affiliated with Community Memorial Health System and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2921 Saviers Rd

Oxnard, CA 930335314

Telephone 8054875588

Fax 8054875589

Associated Practice Facility / Clinic

🏢 Community Memorial Health System Facility NPI 1740228345

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Oxnard, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +23.3 yrs vs City Avg

City Avg: 8.7 Yrs

State Avg: 11.5 Yrs

Regional Practice Density

70 Specialists

Practicing in Oxnard, CA (14617 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Supple (32 Years) 32 Yrs

Oxnard Specialty Average (8.7 Years) 8.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	37	19	$130.00	$57.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	19	$160.00	$84.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$226.32	$117.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	26	$160.00	$87.66
99213 Established patient office or other outpatient visit, typically 15 minutes	35	21	$130.00	$59.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$160.00	$120.77
G0444 Annual depression screening, 5 to 15 minutes	16	16	$20.00	$8.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	20	$160.00	$88.11
99213 Established patient office or other outpatient visit, typically 15 minutes	33	25	$130.00	$59.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$160.00	$120.78
99442 Telephone medical discussion with physician, 11-20 minutes	25	17	$130.00	$59.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	26	$160.00	$88.24
99442 Telephone medical discussion with physician, 11-20 minutes	32	19	$130.00	$61.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$145.00	$123.52
99213 Established patient office or other outpatient visit, typically 15 minutes	30	23	$130.00	$60.99
99443 Telephone medical discussion with physician, 21-30 minutes	24	19	$160.00	$90.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	43	24	$130.00	$46.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	17	$160.00	$71.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$145.00	$108.96
99442 Telephone medical discussion with physician, 11-20 minutes	23	21	$130.00	$46.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	39	$160.00	$70.94
99213 Established patient office or other outpatient visit, typically 15 minutes	48	31	$130.00	$45.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$145.00	$108.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	46	$160.00	$69.51
99213 Established patient office or other outpatient visit, typically 15 minutes	78	44	$130.00	$45.92
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	24	24	$195.00	$158.25
99497 Advance care planning, first 30 minutes	24	23	$125.00	$70.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$145.00	$108.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$230.00	$99.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	78	38	$130.00	$45.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	35	$160.00	$69.29

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 15019

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

RHM08608F (CA)

Medicaid State Provider ID

RHM18553H (CA)

Medicaid State Provider ID

RHM08609F (CA)

Medicaid State Provider ID

ZZT40394F (CA)

Commercial Insurance / Payer ID Other Insurance

95-1683892 (CA)

Hospital & Practice Group Affiliations

Community Memorial Health System

5800 Santa Rosa Rd, Camarillo, CA 930127061

Phone: 8056672801

Community Memorial Health System

147 N Brent St, Ventura, CA 930032809

Phone: 8056525011

Community Memorial Health System

422 Arneill Rd B, Camarillo, CA 930106434

Phone: 8053834510

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Dr. Tajinder Kaur , MD

Obstetrics & Gynecology

NPI 1124035969

Doctor of Medicine (M.D.)

Danilo Bernal , NP

Nurse Practitioner - Family

NPI 1134548605

Nurse Practitioner

Dr. Erin Bergeron , MD

Family Medicine

NPI 1144274531

Doctor of Medicine (M.D.)

Christine Camara , PA

Physician Assistant

NPI 1154333052

Physician Assistant

Dr. Steve Jones , MD

Family Medicine

NPI 1407847734

Doctor of Medicine (M.D.)

Dr. Alison Shuman , MD

Pediatrics

NPI 1477744480

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 2921 SAVIERS RD, OXNARD, CA 930335314 (Tel: 8054875588)

📍

Updated Business Mailing Address July 09, 2007

Registered at 2705 LOMA VISTA RD, SUITE 205, VENTURA, CA 930031581 (Tel: 8056672801)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as KRISTINE SUPPLE, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Physician Assistant (License #15019 in CA)

🟢

Initial NPI Registration & Enumeration November 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720157233

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 07, 2006

Last Update: July 09, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2705 Loma Vista Rd, Suite 205

Ventura, CA 930031581

Phone: 8056672801

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.