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HAILEY SMITH CLISSOLD PA-C
NPI 1326611419
Physician Assistant in Raleigh, NC

Active since July 19, 2021PECOS Enrolled
1000 SOCIAL ST STE 300, RALEIGH, NC 27609(310) 567-8177 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2024, Jul 18, 2023, Jul 19, 2021 (3 updates tracked since 2021).

About Hailey Smith Clissold Pa-c NPPES

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

HAILEY SMITH CLISSOLD PA-C (NPI 1326611419) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-13113) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1326611419
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHAILEY SMITH CLISSOLDCredential: PA-C
Location Address1000 SOCIAL ST STE 300Raleigh, NC 27609-2102
Mailing Address1000 Social St Ste 300Raleigh, NC 27609-2102
Phone(310) 567-8177
Sole ProprietorNo
Enumeration DateJuly 19, 2021
Last NPPES UpdateSeptember 11, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1326611419 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 NC · 0010-13113
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.
1000 SOCIAL ST STE 300, Raleigh, NC 27609
Open in Google Maps ↗

Secondary Practice Location 1

Location 1405 Glascock StRaleigh, NC 27604-2042 · Phone (310) 567-8177

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hailey Smith Clissold Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
70 services67 patients
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.
28 services25 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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

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

MELANIE KATRIN RICHARDSON FNP-BC
Nurse Practitioner
1000 SOCIAL ST STE 300
RALEIGH, NC 27609
Wake County (980) 880-3899

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 Hailey Clissold's NPI number?

The NPI number for Hailey Clissold is 1326611419. It was assigned to this individual provider in the NPPES registry on July 19, 2021.

Where is Hailey Clissold located?

Hailey Clissold practices at 1000 Social St Ste 300, Raleigh, NC 27609. The listed phone number is (310) 567-8177.

What is Hailey Clissold's specialty?

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

Is Hailey Clissold enrolled in Medicare?

Yes. Hailey Clissold is registered in the Medicare PECOS enrollment system.

What insurance does Hailey Clissold accept?

Health plans from Blue Cross and Blue Shield of NC list Hailey Clissold 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.

When was this NPI record last updated?

The NPPES record for Hailey Clissold was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.