MARY JO KISH NP
NPI 1184074288
Nurse Practitioner - Adult Health in Cheektowaga, NY

Active since June 20, 2016PECOS EnrolledAccepts Medicare Assignment
87.31/100
CMS Quality Rating
4225 GENESEE ST, CHEEKTOWAGA, NY 14225(716) 906-5908 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1184074288
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARY JO KISHCredential: NP
Location Address4225 GENESEE STCheektowaga, NY 14225-1994
Mailing Address462 Grider StBuffalo, NY 14215-3021 · (716) 810-7999
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 20, 2016
NPI 1184074288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · 307734
4225 GENESEE ST, Cheektowaga, NY 14225

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

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.

PECOS PAC ID941580765
PECOS Enrollment IDI20161213000295
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services41 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

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.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

87.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.9
Promoting Interoperability99
Improvement Activities40
Cost79.2

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.

Registered Nurse (Registered Nurse First Assistant)
4225 GENESEE ST
CHEEKTOWAGA, NY 14225
Orthopaedic Surgery
4225 GENESEE ST
CHEEKTOWAGA, NY 14225
Specialist/Technologist (Athletic Trainer)
4225 GENESEE ST
CHEEKTOWAGA, NY 14225
Specialist/Technologist (Athletic Trainer)
4225 GENESEE ST
BUFFALO, NY 14225
Specialist/Technologist (Athletic Trainer)
4225 GENESEE ST
CHEEKTOWAGA, NY 14225
Specialist/Technologist (Athletic Trainer)
4225 GENESEE ST
CHEEKTOWAGA, NY 14225
Specialist/Technologist (Athletic Trainer)
4225 GENESEE ST
CHEEKTOWAGA, NY 14225
Specialist/Technologist (Athletic Trainer)
4225 GENESEE ST
BUFFALO, NY 14225

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184074288, enumerated as an "individual" on June 20, 2016.

The provider is located at 4225 GENESEE ST CHEEKTOWAGA, NY 14225 and the phone number is (716) 906-5908.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.