Emma Elizabeth Kissell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9112284 Issued in FL

Practice address

1600 SW Archer Rd
Gainesville, FL 32610-0294

Phone

(352) 273-7584

Fax

(352) 392-3498

NPI assigned

May 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, CO2 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 2

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Platte Valley Medical Group LLCGroup PAC ID 5890054100, 120 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health Platte Valley Hospital Hospital, Brighton, CO, CCN 060004

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Platte Valley Medical Group, LLC

  • Family Medicine Physician
  • Brighton, CO
  • NPI 1922812593
  Medicare reassignment Care Compare group NPD
• Florida Clinical Practice Association Inc

  • Surgery Physician
  • Gainesville, FL
  • NPI 1063463768
  Medicare reassignment NPD
• Florida Clinical Practice Association Inc

  • Durable Medical Equipment & Medical Supplies
  • Ocala, FL
  • NPI 1609529478
  NPD
• Platte Valley Medical Group LLC

  • Family Medicine Physician
  • Brighton, CO
  • NPI 1730698820
  NPD

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

• Brighton Community Hospital Association

  • General Acute Care Hospital
  • Brighton, CO
  • NPI 1629071758
  Care Compare affiliation

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1952966400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100294",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100294",
            "telephone_number": "954-604-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100294",
            "telephone_number": "352-273-7584",
            "fax_number": "352-392-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSELL",
        "first_name": "EMMA",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104167000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Mathew Kirstein, M.D.
• Rebecca Kish, MD
• Catherine Kishel, M.ED.
• Katherine Elizabeth Kisilewicz, MS, RD, LD/N
• Kathryn Kiskaddon, DMD
• Virgil Kistler
• Sayuri Kitada
• Sheri Marie Kittelson, MD
• Ireneanne Doyle Kittles, ARNP
• Mary Lu Kladde, ARNP, FNP-BC

• Physician Assistant in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.