AMY M. CISSELL ARNP
NPI 1275562167
Nurse Practitioner in Louisville, KY

Active since July 02, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1000 DUPONT RD, LOUISVILLE, KY 40207(502) 899-6405(502) 889-6407 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 13, 2020, Sep 29, 2020, Jul 2, 2020 (3 updates tracked since 2020).

About Amy M. Cissell Arnp NPPES

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

AMY M. CISSELL ARNP (NPI 1275562167) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (5181P) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1275562167
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMY M. CISSELLCredential: ARNP
Location Address1000 DUPONT RDLouisville, KY 40207-4611
Mailing AddressPo Box 766351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Fax(502) 889-6407
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 2, 2006
Last NPPES UpdateOctober 13, 20203 updates tracked since enumeration
NPPES CertifiedOctober 13, 2020
NPI 1275562167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in KY · 5181P
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1000 DUPONT RD, Louisville, KY 40207

Other Names 1

Former Name (1)Amy M. Blackwell

Other Identifiers 9

Other2592936KY · Cigna - Nhwm
Other50026597KY · Passport - Nhwm
Medicaid7100071580KY
Other000000631045KY · Anthem - Nhwm
Medicaid200928570IN
Other000051983YKY · Humana - Nhwm
Other3749683000KY · Passport Advtg - Nhwm
Other107785KY · Siho - Nhwm
OtherP00948795KY · Railroad Medicare - Ky - Nhwm

Accepted 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

Amy M. Cissell Arnp 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 ID2567467939
PECOS Enrollment IDI20081224000283
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 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 with low level od decision making, if using time, 20 minutes or more 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.
49 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Acute Care)
1000 DUPONT RD
LOUISVILLE, KY 40207
Surgery
1000 DUPONT RD, SUITE A
LOUISVILLE, KY 40207
Surgery
1000 DUPONT RD
LOUISVILLE, KY 40207
Surgery
1000 DUPONT RD, SUITE A
LOUISVILLE, KY 40207
Dietitian, Registered (Nutrition, Obesity and Weight Management)
1000 DUPONT RD
LOUISVILLE, KY 40207
Surgery
1000 DUPONT RD
LOUISVILLE, KY 40207
Social Worker (Clinical)
1000 DUPONT RD
LOUISVILLE, KY 40207
Dietitian, Registered
1000 DUPONT RD
LOUISVILLE, KY 40207

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 Amy Cissell's NPI number?

The NPI number for Amy Cissell is 1275562167. It was assigned to this individual provider in the NPPES registry on July 2, 2006. The provider is also known as Amy M. Blackwell.

Where is Amy Cissell located?

Amy Cissell practices at 1000 Dupont Rd, Louisville, KY 40207. The listed phone number is (502) 899-6405.

What is Amy Cissell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amy Cissell enrolled in Medicare?

Yes. Amy Cissell 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 Amy Cissell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Amy Cissell 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 Amy Cissell affiliated with any hospitals?

According to CMS data, Amy Cissell is affiliated with Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Amy Cissell was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.