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SUZZANE ROENA PISTOLE PA-C
NPI 1255527495
Physician Assistant in Pickerington, OH

Active since September 21, 2007PECOS EnrolledAccepts Medicare Assignment
1509 STONECREEK DR S, PICKERINGTON, OH 43147(740) 653-2500(740) 653-2552 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2025, Oct 7, 2020, Aug 1, 2018 and 2 more (5 updates tracked since 2015).

About Suzzane Roena Pistole Pa-c NPPES

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

SUZZANE ROENA PISTOLE PA-C (NPI 1255527495) is an individual physician assistant in Pickerington, Ohio, licensed in Ohio (50.002818) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Fairfield Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1255527495
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUZZANE ROENA PISTOLECredential: PA-C
Location Address1509 STONECREEK DR SPickerington, OH 43147-9836
Mailing Address7951 Shoal Creek Blvd Ste 300Austin, TX 78757-7582 · (512) 584-8404 · Fax (737) 377-0442
Phone(740) 653-2500
Fax(740) 653-2552
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 21, 2007
Last NPPES UpdateNovember 21, 20255 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1255527495 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 OH · 50.002818
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.
1509 STONECREEK DR S, Pickerington, OH 43147
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Other Names 1

Former Name (1)Suzzane Roena Sims/king Pa-c

Other Identifiers 1

Medicaid0122840OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

Suzzane Roena Pistole 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 ID547359267
PECOS Enrollment IDI20130610000675
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.

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43147 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 2

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

ANESTHESIA SERVICES ASSOCIATES, PLLC
Durable Medical Equipment & Medical Supplies
1509 STONECREEK DR S
PICKERINGTON, OH 43147
Fairfield County (740) 653-2500
CAPITOL PAIN INSTITUTE, PA
Durable Medical Equipment & Medical Supplies
1509 STONECREEK DR S
PICKERINGTON, OH 43147
Fairfield County (740) 653-2500

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 Suzzane Pistole's NPI number?

The NPI number for Suzzane Pistole is 1255527495. It was assigned to this individual provider in the NPPES registry on September 21, 2007. The provider is also known as Suzzane Roena Sims/King Pa-C.

Where is Suzzane Pistole located?

Suzzane Pistole practices at 1509 Stonecreek Dr S, Pickerington, OH 43147. The listed phone number is (740) 653-2500.

What is Suzzane Pistole's specialty?

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

Is Suzzane Pistole enrolled in Medicare?

Yes. Suzzane Pistole 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.

What insurance does Suzzane Pistole accept?

Health plans from CareSource and MedMutual list Suzzane Pistole 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.

Is Suzzane Pistole affiliated with any hospitals?

According to CMS data, Suzzane Pistole is affiliated with Fairfield Medical Center.

When was this NPI record last updated?

The NPPES record for Suzzane Pistole was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.