Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Kimberly W Reisenauer, PA

Individual provider Physician Assistant · NPI 1023149101

Mrs. Kimberly W Reisenauer, PA is a Physician Assistant in Sumter, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2000, 26 years ago. Practices with Colonial Family Practice LLC, a 57-clinician group. Licensed in South Carolina.

Years since qualifying
26
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

325 Broad St Ste 100
Sumter, SC 29150-4167 Not confirmed with CMS for 14 years — call before visiting
Phone: (803) 773-5227
Fax: (803) 774-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 638 (SC)

Record details

NPI number1023149101
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 8, 2007
Last updated in NPPESFebruary 1, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Colonial Family Practice Llc — 57 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 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 patients100
Services billed 2,366 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

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.

Colleagues at Colonial Family Practice LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 57 clinicians in the practice; 12 are shown here.

Other providers in Sumter