Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811851074 Individual Practitioner Female Practitioner

Kaitlyn Megan Console , PA-C

Physician Assistant • Placerville, CA

Professional Overview & Biography Verified Profile Summary

Kaitlyn Console, PA-C is a registered healthcare professional specializing in Physician Assistant in Placerville, CA. Practice services are available at 4212 MISSOURI FLAT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4212 Missouri Flat Rd

Placerville, CA 956676269

Telephone 5306217700
Fax 5306217713
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Placerville, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.2 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
12 Specialists

Practicing in Placerville, CA (14617 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA65553

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Pamela Namenyi , FNP, PNP

Nurse Practitioner

NPI 1013164771

Family Nurse Practitioner, Pediatric Nurse Practitioner

NPI 1053495424

Doctor of Medicine (M.D.)

Elizabeth Weissbart Wasik , FNP

Nurse Practitioner - Family

NPI 1053894717

Family Nurse Practitioner

Dr. Ashley Witherspoon , DNP, FNP-BC

Nurse Practitioner - Family

NPI 1063100477

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Raniah Al Bayati

Dentist - General Practice

NPI 1083308563
NPI 1114126927

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 02, 2026

Registered at 4212 MISSOURI FLAT RD, PLACERVILLE, CA 956676269 (Tel: 5306217700)

📍
Updated Business Mailing Address March 02, 2026

Registered at 4212 MISSOURI FLAT RD, PLACERVILLE, CA 956676269 (Tel: 5306217700)

NPI Profile Active December 12, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location December 12, 2025

Registered at 4170 S SHINGLE CT, SHINGLE SPRINGS, CA 956829370 (Tel: 5309575624)

📍
Updated Business Mailing Address December 12, 2025

Registered at 4170 S SHINGLE CT, SHINGLE SPRINGS, CA 956829370 (Tel: 5309575624)

👤
Provider Name / Credentials Updated December 12, 2025

Recorded as KAITLYN CONSOLE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2025

Physician Assistant (License #PA65553 in CA)

🟢
Initial NPI Registration & Enumeration December 12, 2025

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: 1811851074
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2025
Last Update: March 02, 2026
Sole Proprietor: No

Mailing Address

4212 Missouri Flat Rd

Placerville, CA 956676269

Phone: 5306217700

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.