Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mrs. Kimberly W Reisenauer, P.A.
Physician Assistant in Sumter, SC · enumerated 2007.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1023149101
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Registry record
Entity type Individual (Type 1)
Name Mrs. Kimberly W Reisenauer
Credential P.A.
Sex Female
Practice address 325 Broad St, Suite 100, Sumter, SC, 29150
Phone (803) 773-5227
Fax (803) 774-5400
Enumeration date Mar 8, 2007
Last updated in NPPES Feb 1, 2012
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 638 (SC) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0109PA | Medicaid | SC | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Kimberly Reisenauer?
Kimberly Reisenauer is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
Browse all → Joseph Grant General Practice Physician · Sumter, SC NPI 1639135239 Clayton Lowder Family Medicine Physician · Sumter, SC NPI 1184671075 David Trigg Family Medicine Physician · Sumter, SC NPI 1134138167 David Whaley Family Medicine Physician · Sumter, SC NPI 1174630297 Jason Leonard Family Medicine Physician · Sumter, SC NPI 1033290093 Thomas Lucas Family Medicine Physician · Sumter, SC NPI 1477746998 Meaghan Gosma Pediatric Nurse Practitioner · Sumter, SC NPI 1740444223 Hanna Rivers Family Nurse Practitioner · Sumter, SC NPI 1730486838
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-02-01.