DR. JILL KISSOLOVEGE D.O.
NPI 1235332263
Internal Medicine in Scranton, PA
About Dr. Jill Kissolovege D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JILL KISSOLOVEGE D.O. (NPI 1235332263) is an individual internal medicine provider in Scranton, Pennsylvania, licensed in Pennsylvania (OS-010470-L) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (1998).
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
Dr. Jill Kissolovege D.o. 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 Jill Kissolovege reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Scranton, PA 18505
- Reassigned Medicare billing, Pennsylvania enrollment
- 8 clinicians in this Medicare group
Wilkes Barre, PA 18702
- Reassigned Medicare billing, Pennsylvania enrollment
- 22 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 2
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 18505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jill Kissolovege's NPI number?
The NPI number for Jill Kissolovege is 1235332263. It was assigned to this individual provider in the NPPES registry on June 7, 2007.
Where is Jill Kissolovege located?
Jill Kissolovege practices at 1141 Moosic St Ste 3, Scranton, PA 18505. The listed phone number is (570) 800-5926.
What is Jill Kissolovege's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jill Kissolovege enrolled in Medicare?
Yes. Jill Kissolovege 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 Jill Kissolovege's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jill Kissolovege reassigns Medicare benefits to 2 organizations: Lake Scranton Urgent Care LLC (Scranton, PA) and Cleanslate Medical Group Of Pennsylvania LLC (Wilkes Barre, PA). 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 Jill Kissolovege'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 Jill Kissolovege was last updated on February 3, 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.
# Dr. Jill Kissolovege, D.O. · NPI 1235332263
Internal Medicine physician in Scranton, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 7, 2007.
## Identity
- **NPI:** 1235332263 (Entity type: Individual)
- **Enumerated:** June 7, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** OS-010470-L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1141 MOOSIC ST, STE 3, Scranton, PA 18505-2105
- **Phone:** (570) 800-5926
## 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): Lake Scranton Urgent Care LLC (NPI 1194186957, Scranton, PA); Cleanslate Medical Group Of Pennsylvania LLC (NPI 1184177263, Wilkes Barre, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 1998
## Record status
- **NPPES last updated:** February 3, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1235332263) · Data from the CMS NPPES public registry.