1. Home
  2. Directory
  3. North Carolina
  4. Clyde
  5. Physician Assistant
  6. NPI Profile

MR. JOHN C KISH PA
NPI 1013910843
Physician Assistant in Clyde, NC

Active since May 24, 2005PECOS Enrolled
35 FACILITY DRIVE, MEDWEST, CLYDE, NC 28721(828) 452-5042(828) 452-9225 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John C Kish Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN C KISH PA (NPI 1013910843) is an individual physician assistant in Clyde, North Carolina, licensed in North Carolina (103183) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013910843
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JOHN C KISHCredential: PA
Location Address35 FACILITY DRIVE, MEDWESTClyde, NC 28721
Mailing Address35 Facility DrClyde, NC 28721-9438 · (828) 452-8110
Phone(828) 452-5042
Fax(828) 452-9225
Sole ProprietorNo
Enumeration DateMay 24, 2005
Last NPPES UpdateApril 19, 2017
✔ NPI 1013910843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 103183
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
35 FACILITY DRIVE, Clyde, NC 28721
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINS78092NC
Medicare ID-Type Unspecified2763310NC · John Kish's Medicare #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. John C Kish Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28721 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Kish's NPI number?

The NPI number for John Kish is 1013910843. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is John Kish located?

John Kish practices at 35 Facility Drive Medwest, Clyde, NC 28721. The listed phone number is (828) 452-5042.

What is John Kish's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is John Kish enrolled in Medicare?

Yes. John Kish is registered in the Medicare PECOS enrollment system.

What insurance does John Kish accept?

Health plans from Blue Cross and Blue Shield of Texas list John Kish as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Kish was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.