KALISSA MADISON BITTNER PA-C
NPI 1164170767
Physician Assistant in Gastonia, NC

Q: What is Kalissa Bittner's NPI number?

The NPI number for Kalissa Bittner is 1164170767. It was assigned to this individual provider in the NPPES registry on March 13, 2022.

Q: What is Kalissa Bittner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kalissa Bittner was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since March 13, 2022PECOS EnrolledAccepts Medicare Assignment

609 N HIGHLAND ST, GASTONIA, NC 28052(704) 772-4700(704) 833-1553 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 30, 2025, Sep 25, 2024, Mar 13, 2022 (3 updates tracked since 2022).

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About Kalissa Madison Bittner Pa-c NPPES

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

KALISSA MADISON BITTNER PA-C (NPI 1164170767) is an individual physician assistant in Gastonia, North Carolina, licensed in North Carolina (0010-14519) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164170767

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKALISSA MADISON BITTNERCredential: PA-C

Location Address609 N HIGHLAND STGastonia, NC 28052-2179

Mailing Address200 E 2nd AveGastonia, NC 28052-4358 · (704) 874-1904

Phone(704) 772-4700

Fax(704) 833-1553

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 13, 2022

Last NPPES UpdateDecember 30, 20253 updates tracked since enumeration

NPPES CertifiedDecember 30, 2025

✔ NPI 1164170767 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 · 0010-14519

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.

609 N HIGHLAND ST, Gastonia, NC 28052

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Other Identifiers 1

Other8258-5446-1481KY · National Registry Of Emergency Medical Technicians

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kalissa Madison Bittner Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214399393

PECOS Enrollment IDI20241009000650

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340032

Location2525 Court DrGastonia, NC 28052 · Gaston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28052 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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD ANKRAH

Nurse Practitioner (Family)