Suzzane Roena Pistole, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.002818 Issued in OH

Practice address

1509 Stonecreek Dr S
Pickerington, OH 43147-9836

Phone

(740) 653-2500

Fax

(740) 653-2552

NPI assigned

Sep 21, 2007

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

Other identifiers 1

Other names 1

• Suzzane Roena Sims/King Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capitol Pain Institute PAGroup PAC ID 9436244522, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: suzzane.pistole.p23@direct.painphysicians.nextgenshare.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.

• Capitol Pain Institute, PA

  dba Capitol Pain Institute

  • Pain Medicine (Anesthesiology) Physician
  • Austin, TX
  • NPI 1548303985

  OH, Physician Assistant

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fairfield Medical Center

  • General Acute Care Hospital
  • Lancaster, OH
  • NPI 1467433763
  Care Compare affiliation

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1255527495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 SHOAL CREEK BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577582",
            "telephone_number": "512-584-8404",
            "fax_number": "737-377-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 STONECREEK DR S",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479836",
            "telephone_number": "740-653-2500",
            "fax_number": "740-653-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISTOLE",
        "first_name": "SUZZANE",
        "middle_name": "ROENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122840",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZZANE",
            "last_name": "SIMS/KING",
            "middle_name": "ROENA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pickerinton Area Counseling
• Andrew Picklesimer, LMT
• Jennifer A Pierce, LMT
• James Pinkard
• Pinnacle Orthodontics, Inc. - Robert N. Pham, D.D.S., M.S.
• Julie Pitman, M.ED.
• Michael Patrick Poland, MD
• Nakate Polk, STNA
• Monica Ayn Pomi
• Kenneth Poole

• Physician Assistant in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.