Kiersten McFague, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA4099 Issued in MA

Practice address

10800 Knights Rd
2ND Floor Heart Unit
Philadelphia, PA 19114

Phone

(267) 350-3155

NPI assigned

Dec 1, 2010

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 names 1

• Kiersten Ball Former name

Medicare fee-for-service enrollment

Enrolled in MD

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

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.

• Hospitalist Medicine Physicians of Maryland PC

  • Hospitalist Physician
  • Frederick, MD
  • NPI 1992945471
  Medicare reassignment
• Hospitalist Medicine Physicians of Maryland-Laurel PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Frederick, MD
  • NPI 1316554587
  Medicare reassignment
• Hospitalist Medicine Physicians of Maryland PC

  • Internal Medicine Physician
  • Frederick, MD
  • NPI 1366240111
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1386946051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 KNIGHTS RD",
            "address_2": "2ND FLOOR HEART UNIT",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19114",
            "telephone_number": "267-350-3155",
            "fax_number": "215-612-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 KNIGHTS RD",
            "address_2": "2ND FLOOR HEART UNIT",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19114",
            "telephone_number": "267-350-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFAGUE",
        "first_name": "KIERSTEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIERSTEN",
            "last_name": "BALL",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gerrod McFadden
• Isabella McFadden
• Judith McFadden, D.M.D.
• Robert F. McFadden, M.D.
• Taniesha McFadden
• Amanda Lee McFall, PA-C
• Elizabeth A McFall
• Ashley Landi McFarland
• Brian K McFarland
• Joseph McFarland

• Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.