Rachel Kuisell, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601007222 Issued in MI

Practice address

585 South Blvd E Ste 100
Pontiac, MI 48341-3163

Phone

(248) 206-1200

Fax

(248) 206-1206

NPI assigned

Oct 22, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rschell118650@epic00.shdirect.org
• Direct secure messaging: rachel.kuisell.1@12099.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spectrum Health Primary Care Partners

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1235188673
  Medicare reassignment NPD
• Spectrum Health Primary Care Partners

  • Radiology Clinic/Center
  • Grand Rapids, MI
  • NPI 1528374683
  NPD
• Spectrum Health Primary Care Partners

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1689499667
  NPD
• Advanced Cardiovascular Clinic PC

  • Cardiac Rehabilitation Clinic/Center
  • Flushing, MI
  • NPI 1912549056
  NPD (past)
• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1164827994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 SOUTH BLVD E STE 100",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483413163",
            "telephone_number": "248-206-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 SOUTH BLVD E STE 100",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483413163",
            "telephone_number": "248-206-1200",
            "fax_number": "248-206-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUISELL",
        "first_name": "RACHEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Scott Krivitsky, D.O.
• Sydney Erin Krolikowski, M.A CCC-SLP
• Vincent James Krolikowski, AGACNP-BC
• Adrienne Krystyniak, CCC-SLP
• Kevin Kucera, PHARMD
• Sydney Hayes Kukla
• John R Kuksa, P.A.
• Bhavya Kumar, MD
• Arpita Kundal, P.T.
• Kristi Nicole Kurzym, CRNA

• Physician Assistant in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.