Active NPI
Emily Clare Cissel
- Physician Assistant
- Rockville, MD
National Provider Identifier
1770255390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 15204 Omega Dr Ste 310
Rockville, MD 20850-4816 - Phone
- (240) 361-9000
- NPI assigned
- Oct 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
15204 Omega Dr Ste 310
Rockville, MD 20850-4816
Mailing address
24704 Tandem Dr
Damascus, MD 20872-2312
Phone (240) 678-3123
Other practice location 1
9901 Medical Center Dr
Rockville, MD 20850-3357
Phone (240) 678-3123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6410 Rockledge Dr
Suite 305
Bethesda, MD 20817-1841
Phone (301) 652-8847
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.24 of 100
- Quality
- 75.4
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1770255390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24704 TANDEM DR",
"city": "DAMASCUS",
"state": "MD",
"postal_code": "208722312",
"telephone_number": "240-678-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15204 OMEGA DR STE 310",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504816",
"telephone_number": "240-361-9000"
}
],
"practiceLocations": [
{
"address_1": "9901 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208503357",
"country_code": "US",
"telephone_number": "240-678-3123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CISSEL",
"first_name": "EMILY",
"middle_name": "CLARE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-01",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.