Active NPI 1285067868 Individual Practitioner Female Practitioner

Kylie Perkins Risendal , PA-C

Physician Assistant • Fishersville, VA

Professional Overview & Biography Verified Profile Summary

Kylie Risendal, PA-C is a registered healthcare professional specializing in Physician Assistant in Fishersville, VA. Practice services are available at 70 MEDICAL CENTER CIR STE 103 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

70 Medical Center Cir Ste 103

Fishersville, VA 229392273

Telephone 5402457400

Fax 5402457401

Associated Practice Facility / Clinic

🏢 Augusta Medical Group Facility NPI 1245489590

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fishersville, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.7 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

76 Specialists

Practicing in Fishersville, VA (4432 Statewide)

Telehealth Adoption Rate

11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	79	62	$138.00	$55.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	30	$196.00	$80.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$254.00	$106.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$170.00	$69.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$404.00	$136.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$196.00	$83.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$254.00	$115.14
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$138.00	$55.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$170.00	$71.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	182	182	$410.64	$137.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	45	$303.26	$104.90
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$219.18	$74.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	168	168	$436.79	$131.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$285.00	$87.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$285.00	$82.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	327	327	$435.46	$133.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$305.00	$87.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	27	$385.00	$115.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$285.00	$87.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	294	294	$435.97	$131.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$385.00	$112.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$316.25	$80.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$370.36	$130.96
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	14	$90.00	$32.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$320.00	$115.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$305.00	$113.17

Medical Specialties & State Licenses

CMS Verified: 2025-05-12

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110008477

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WV 2040

Secondary Practice Locations

415 Morris St Ste 400

Charleston, WV 253011854

Phone: 3043443551

Practice Associates & Co-Workers

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

8 Associated Practitioners

Kelli Burnett , PA

Physician Assistant

NPI 1013708544

Physician Assistant

Dr. David Lacey , MD

Physical Medicine & Rehabilitation

NPI 1205838968

Doctor of Medicine (M.D.)

Kara Bowman

Physician Assistant

NPI 1346068350

Pamela Thomas , PA-C

Physician Assistant

NPI 1407007206

Physician Assistant (Certified)

Dr. Clark Bernard , MD

Neurological Surgery

NPI 1477654937

Doctor of Medicine (M.D.)

Johnathon Chisum , PA

Physician Assistant

NPI 1538104138

Physician Assistant

Career & Practice History Timeline

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

15 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2023

Physician Assistant (License #2040 in WV)

📍

Updated Practice Location August 11, 2022

Registered at 70 MEDICAL CENTER CIR STE 103, FISHERSVILLE, VA 229392273 (Tel: 5402457400)

📍

Updated Business Mailing Address August 11, 2022

Registered at PO BOX 388, FISHERSVILLE, VA 229390388

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2022

Physician Assistant (License #0110008477 in VA)

✅

NPI Profile Active January 02, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 02, 2018

Registered at 415 MORRIS ST STE 400, CHARLESTON, WV 253011854 (Tel: (304) 344-3551)

📍

Updated Business Mailing Address January 02, 2018

Registered at 415 MORRIS ST STE 400, CHARLESTON, WV 253011854 (Tel: (304) 344-3551)

👤

Provider Name / Credentials Updated January 02, 2018

Recorded as KYLIE RISENDAL, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2018

Physician Assistant (License #2040 in WV)

✅

NPI Profile Active February 24, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 24, 2016

Registered at 9090 SW 87TH CT, SUITE 201, MIAMI, FL 331762315 (Tel: 3056707650)

📍

Updated Business Mailing Address February 24, 2016

Registered at 9960 NW 116TH WAY, SUITE 13, MEDLEY, FL 331781167 (Tel: 7869241311)

👤

Provider Name / Credentials Updated February 24, 2016

Recorded as KYLIE RISENDAL, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2016

Physician Assistant (License #9107367 in FL)

🟢

Initial NPI Registration & Enumeration August 19, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Kylie Risendal. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1285067868

Entity Type:

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

Enumeration Date: August 19, 2013

Last Update: May 12, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 388

Fishersville, VA 229390388

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.