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KATHRYN SCHISSLER D.O.
NPI 1407389976
Pediatrics - Pediatric Emergency Medicine in Providence, RI

Active since April 11, 2017PECOS Enrolled
97.91/100
CMS Quality Rating
593 EDDY ST., CLAVERICK 2, PROVIDENCE, RI 02903(401) 444-4000 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 16, 2023, Sep 23, 2022, Jun 29, 2020 and 1 more (4 updates tracked since 2017).

About Kathryn Schissler D.o. NPPES

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

KATHRYN SCHISSLER D.O. (NPI 1407389976) is an individual pediatric emergency medicine provider in Providence, Rhode Island, licensed in Rhode Island (DO01236) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hartford.

NPPES Registry Identity

NPI1407389976
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameKATHRYN SCHISSLERCredential: D.O.
Location Address593 EDDY ST., CLAVERICK 2Providence, RI 02903
Mailing Address125 Whipple St Ste 3Providence, RI 02908-3258
Phone(401) 444-4000
Sole ProprietorNo
Enumeration DateApril 11, 2017
Last NPPES UpdateJune 16, 20234 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1407389976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses✔ Licensed in RI · DO01236✔ Licensed in CT · 65358
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
593 EDDY ST., Providence, RI 02903
Open in Google Maps ↗

Secondary Practice Location 1

Location 1282 Washington StHartford, CT 06106-3322 · Phone (860) 545-9000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Schissler D.o. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kathryn Schissler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brown Emergency Medicine
Same address
Emergency Medicine
593 EDDY ST, CLAVERICK 2
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 201 clinicians in this Medicare group
NPI 1962455022 (401) 444-4000
Lifespan Physician Group, Inc.
Same address
General Practice
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
NPI 1407116643 (401) 444-6779

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

97.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.97
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

AMANDA BALDARO LCSW
Social Worker (Clinical)
593 EDDY ST.
PROVIDENCE, RI 02903
Providence County (401) 444-4179
KELSEY HECK PA
Physician Assistant
593 EDDY ST., CLAVERICK 2
PROVIDENCE, RI 02903
Providence County (401) 444-4000
DR. DANIEL SHANIN M.D.
Emergency Medicine
593 EDDY ST., CLAVERICK 2
PROVIDENCE, RI 02903
Providence County (401) 444-4000
ELIZABETH ANN KADOW MD
Emergency Medicine
593 EDDY ST., CLAVERICK 2
PROVIDENCE, RI 02903
Providence County (401) 444-4000
MISS KORI ELIZABETH BAINTON PA-C
Physician Assistant
593 EDDY ST., CLAVERICK 2
PROVIDENCE, RI 02903
Providence County (401) 444-4000
SETH MERKER MD
Emergency Medicine
593 EDDY ST., CLAVERICK 2
PROVIDENCE, RI 02903
Providence County (401) 444-4000
CAITLIN KIMBALL AZZO MD
Emergency Medicine
593 EDDY ST., CLAVERICK 2
PROVIDENCE, RI 02903
Providence County (401) 444-4000
MORGAN SEHDEV
Emergency Medicine
593 EDDY ST., CLAVERICK 2
PROVIDENCE, RI 02903
Providence County (401) 444-4000

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 Kathryn Schissler's NPI number?

The NPI number for Kathryn Schissler is 1407389976. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Kathryn Schissler located?

Kathryn Schissler practices at 593 Eddy St. Claverick 2, Providence, RI 02903. The listed phone number is (401) 444-4000.

What is Kathryn Schissler's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Kathryn Schissler enrolled in Medicare?

Yes. Kathryn Schissler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kathryn Schissler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Schissler reassigns Medicare benefits to 2 organizations: Brown Emergency Medicine (Providence, RI) and Lifespan Physician Group, Inc. (Providence, RI). 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 Kathryn Schissler'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 Kathryn Schissler was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.