Ursula Kisiel, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

117483 Issued in FL

Practice address

3560 A1A S
Saint Augustine, FL 32080-9731

Phone

(904) 584-2273

Fax

(904) 429-9783

NPI assigned

Mar 6, 2008

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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• FM Medical Inc

  • Family Medicine Physician
  • St Augustine, FL
  • NPI 1588091029
  NPD
• FM Medical Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • St Augustine, FL
  • NPI 1053790246
  NPD

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1992975817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 PALM TRL",
            "city": "EAST PALATKA",
            "state": "FL",
            "postal_code": "321314186",
            "telephone_number": "248-312-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 A1A S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320809731",
            "telephone_number": "904-584-2273",
            "fax_number": "904-429-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISIEL",
        "first_name": "URSULA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "117483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeri Kinsella
• Stephanie L Kinsey, DDS
• Amy Marie Kirchner, LMHC
• Amnath Kirdnual, MD
• Kishore Thampy, M.D.,S.C.
• Kjcares Suportive Living Services
• Emma Kleckner, DNP
• Ethan Klein, PTA
• Kathryn Klein, OTR/L
• Samuel Klein

• Family Medicine Physician in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.