MARY JO KISH NP
NPI 1184074288
Nurse Practitioner - Adult Health in Cheektowaga, NY
About Mary Jo Kish Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY JO KISH NP (NPI 1184074288) is an individual adult health provider in Cheektowaga, New York, licensed in New York (307734) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Jo Kish Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Jo Kish reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cheektowaga, NY 14225
- Reassigned Medicare billing, New York enrollment
- 139 clinicians in this Medicare group
Buffalo, NY 14215
- Reassigned Medicare billing, New York enrollment
- 302 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHEEKTOWAGA, NY 14225
CHEEKTOWAGA, NY 14225
BUFFALO, NY 14225
CHEEKTOWAGA, NY 14225
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 Mary Jo Kish's NPI number?
The NPI number for Mary Jo Kish is 1184074288. It was assigned to this individual provider in the NPPES registry on June 20, 2016.
Where is Mary Jo Kish located?
Mary Jo Kish practices at 4225 Genesee St, Cheektowaga, NY 14225. The listed phone number is (716) 906-5908.
What is Mary Jo Kish's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Mary Jo Kish enrolled in Medicare?
Yes. Mary Jo Kish is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mary Jo Kish's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Jo Kish reassigns Medicare benefits to 2 organizations: University Orthopaedic Services, Inc (Cheektowaga, NY) and Erie County Medical Center Corporation (Buffalo, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Jo Kish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Jo Kish was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mary Jo Kish, NP · NPI 1184074288
Adult Health physician in Cheektowaga, New York. Individual provider, active in the CMS NPPES registry since June 20, 2016.
## Identity
- **NPI:** 1184074288 (Entity type: Individual)
- **Enumerated:** June 20, 2016
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 307734 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 4225 GENESEE ST, Cheektowaga, NY 14225-1994
- **Phone:** (716) 906-5908
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Orthopaedic Services, Inc (NPI 1578599866, Cheektowaga, NY); Erie County Medical Center Corporation (NPI 1528233616, Buffalo, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 20, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1184074288) · Data from the CMS NPPES public registry.