Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ken Kim Kristofferson, PA

Individual provider Physician Assistant · NPI 1154341584

Ken Kim Kristofferson, PA is a Physician Assistant in El Paso, Texas. Qualified in 1999, 27 years ago. Practices with Rio Grande Urology PA, a 28-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
27
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7420 Remcon Cir Bldg A
El Paso, TX 79912 Not confirmed with CMS for 12 years — call before visiting
Phone: (915) 532-8823
Fax: (915) 532-5909
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA02936 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA02936 (TX)

Record details

NPI number1154341584
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESJune 17, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Rio Grande Urology Pa — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients302
Services billed 885 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Las Palmas Medical Center A Campus Of Lpds Healthc Hospital · El Paso, TX
  • Sierra Medical Center Hospital · El Paso, TX
  • The Hospitals Of Providence - Memorial Campus Hospital · El Paso, TX
  • The Hospitals Of Providence Horizon City Campus Hospital · Horizon City, TX

Colleagues at Rio Grande Urology PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 28 clinicians in the practice; 12 are shown here.

Other providers in El Paso