Tatiana Kisluk, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP014012 Issued in PA

Practice address

5039 Swamp Rd Ste 401
Fountainville, PA 18923-9663

Phone

(215) 230-8380

Fax

(215) 230-8370

NPI assigned

Oct 3, 2014

Last updated

May 2, 2025By the provider in NPPES

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in ME, PA, KY3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Medicine Services of Maine LLCGroup PAC ID 1759621469, 34 clinicians

Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Light Maine Coast Hospital Hospital, Ellsworth, ME, CCN 200050

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: tkisluk131078@direct.owensborohealth.org

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.

• Ucmg LLC

  • Urgent Care Clinic/Center
  • Allison Park, PA
  • NPI 1972300622
  Medicare reassignment Care Compare group NPD
• Hospital Medicine Services of Maine LLC

  • Hospitalist Physician
  • Ellsworth, ME
  • NPI 1538638432
  Medicare reassignment Care Compare group NPD
• Tri-County Hospitalists, LLC

  • Internal Medicine Physician
  • Phoenixville, PA
  • NPI 1730518564
  Medicare reassignment NPD
• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment NPD
• Atlantic Physician Services of Maryland, P.C.

  • Physician Assistant
  • Wilmington, DE
  • NPI 1730129594

  PA

  Medicare reassignment NPD
• Owensboro Health Medical Group Inc

  dba Owensboro Health Muhlenberg Community Hospital Wound Center

  • Surgery Physician
  • Greenville, KY
  • NPI 1235518242
  Medicare reassignment NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  KY

  Medicare reassignment NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD
• Atlantic Physician Services of Maryland, PC

  • Physician Assistant
  • Baltimore, MD
  • NPI 1174632376
  NPD
• Owensboro Health Medical Group Inc

  dba Owensboro Health Medical Group Premier Primary Care

  • Internal Medicine Physician
  • Owensboro, KY
  • NPI 1306700711

  Family

  NPD
• Owensboro Health Medical Group, Inc

  dba Owensboro Health Medical Group-Family Medicine

  • Internal Medicine Physician
  • Leitchfield, KY
  • NPI 1295331718

  Family

  NPD

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

• Maine Coast Regional Health Facilities

  dba Northern Light Maine Coast Hospital

  • General Acute Care Hospital
  • Ellsworth, ME
  • NPI 1740249739
  Care Compare affiliation

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1649673641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "FOUNTAINVILLE",
            "state": "PA",
            "postal_code": "189230417",
            "telephone_number": "215-230-8380",
            "fax_number": "215-230-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5039 SWAMP RD STE 401",
            "city": "FOUNTAINVILLE",
            "state": "PA",
            "postal_code": "189239663",
            "telephone_number": "215-230-8380",
            "fax_number": "215-230-8370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423039811",
            "country_code": "US",
            "telephone_number": "270-417-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 Wallace Ave",
            "address_purpose": "LOCATION",
            "city": "Leitchfield",
            "state": "KY",
            "postal_code": "427542414",
            "country_code": "US",
            "telephone_number": "270-259-9555",
            "fax_number": "270-259-9555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Nutt Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenixville",
            "state": "PA",
            "postal_code": "194603906",
            "country_code": "US",
            "telephone_number": "610-983-1481",
            "fax_number": "610-422-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Nutt Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenixville",
            "state": "PA",
            "postal_code": "194603906",
            "country_code": "US",
            "telephone_number": "610-983-1481",
            "fax_number": "610-422-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISLUK",
        "first_name": "TATIANA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4036583",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tkisluk131078@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "910 Wallace Ave",
            "city": "Leitchfield",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427542414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tkisluk131078@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "1201 Pleasant Valley Rd",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423039811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Harold H. Byer, MD
• Steven M. Hartwick, CRNA
• Rachel Im, MSN, CRNP, FNP-C
• Ashley Justine Jacobs, CRNP
• Sheryl Johanson, M.ED. CCC A, FAAA
• Catherine Anne Leone, PTA
• Jack McEwan, M.D
• James Gerard Meehan, CRNA
• James M Morton
• Peace Valley Internal Medicine PC

• Family Nurse Practitioner in Fountainville, PA
• Providers in Fountainville, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.