Ceceilia Nichole Kissel, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.005676RX Issued in OH

Practice address

4760 Belpar St NW
Canton, OH 44718-3603

Phone

(330) 492-9200

NPI assigned

Nov 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthounited, Inc.Group PAC ID 9032197868, 89 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.13 of 100Reported as group

Quality

74.6

Promoting interoperability

70

Improvement activities

40

Cost

84.16

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ckissel@omni.medentdirect.com

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

• Orthounited, Inc.

  • Orthopaedic Surgery Physician
  • North Canton, OH
  • NPI 1649236142

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Summa Physicians LLC

  dba Summa Health Medical Group

  • Obstetrics & Gynecology Physician
  • Akron, OH
  • NPI 1235167719
  Medicare reassignment
• Orthounited, Inc.

  • Orthopaedic Surgery Physician
  • Akron, OH
  • NPI 1174357651
  NPD

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1598234080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11695 MEADOWLANE AVE NW",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446858212",
            "telephone_number": "330-488-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 BELPAR ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183603",
            "telephone_number": "330-492-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSEL",
        "first_name": "CECEILIA",
        "middle_name": "NICHOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.005676RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005676RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danene Kirksey
• Nicole Dayna Kirksey
• Susan L Kirksey, LPCC, LICDC
• Kyle D Kish
• Odin Azazel Kisner
• Raven Kiyota-Au
• Brianna D Kleckner, LPC
• Erika Kleis, CRC
• Marie Christine Klemens, MA. LPCC. LCDC III
• Eveline Rusdianto Klenotic, DO, FACS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.