KELLY LEESE MISERENDINO PAC
NPI 1417351958
Physician Assistant - Medical in York, PA

Q: What is Kelly Miserendino's NPI number?

The NPI number for Kelly Miserendino is 1417351958. It was assigned to this individual provider in the NPPES registry on October 13, 2014. The provider is also known as Kelly Elizabeth Leese Pac.

Q: What is Kelly Miserendino's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Miserendino was last updated on April 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 13, 2014PECOS EnrolledAccepts Medicare Assignment

228 SAINT CHARLES WAY STE 300, YORK, PA 17402(717) 812-5400(717) 741-3598 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2026, Feb 18, 2022, Aug 5, 2021 and 2 more (5 updates tracked since 2020).

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About Kelly Leese Miserendino Pac NPPES

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

KELLY LEESE MISERENDINO PAC (NPI 1417351958) is an individual medical provider in York, Pennsylvania, licensed in Pennsylvania (MA057146) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1417351958

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKELLY LEESE MISERENDINOCredential: PAC

Location Address228 SAINT CHARLES WAY STE 300York, PA 17402-4661

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969

Phone(717) 812-5400

Fax(717) 741-3598

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 13, 2014

Last NPPES UpdateApril 10, 20265 updates tracked since enumeration

NPPES CertifiedApril 10, 2026

✔ NPI 1417351958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA057146

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 0110006374 (VA)

228 SAINT CHARLES WAY STE 300, York, PA 17402

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Other Names 1

Former Name (1)Kelly Elizabeth Leese Pac

Secondary Practice Locations 10

Location 1101 W Airport RdLititz, PA 17543-9274 · Phone (717) 466-2445 · Fax (717) 466-2447

Location 296 Sofia Dr Ste 208Shrewsbury, PA 17361-5201 · Phone (717) 812-2400 · Fax (717) 812-3005

Location 34050 N George Street ExtManchester, PA 17345-9347 · Phone (717) 356-4370 · Fax (717) 260-3316

Location 49 Nathan LnAnnville, PA 17003-6500 · Phone (717) 639-3350 · Fax (717) 639-3350

Location 52149 S Queen StYork, PA 17403-4845 · Phone (717) 356-4460 · Fax (717) 260-3326

Location 6717 Town Center DrYork, PA 17408-4824 · Phone (717) 356-4240 · Fax (717) 356-4241

Location 7100 Eisenhower Dr Ste 360Hanover, PA 17331-5241 · Phone (717) 646-4201 · Fax (717) 646-4202

Location 8446 N Reading RdEphrata, PA 17522-9802 · Phone (717) 738-5275 · Fax (717) 738-5278

Location 9455 S Washington St Ste 12Gettysburg, PA 17325-2516 · Phone (717) 339-2875 · Fax (717) 334-3921

Location 102250 E Market StYork, PA 17402-2857 · Phone (717) 851-1566 · Fax (717) 812-3950

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

Kelly Leese Miserendino Pac 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 ID8224350137

PECOS Enrollment IDI20141204000153

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 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.

82 services73 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

41 services41 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Wellspan York Hospital

Acute Care Hospitals · York, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390046

Location1001 South George StreetYork, PA 17403 · York County

Emergency services Birthing friendly

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390065

Location147 Gettys StreetGettysburg, PA 17325 · Adams County

Emergency services Birthing friendly

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.

DR. JONATHAN SIU-ON CHU M.D.

Physical Medicine & Rehabilitation (Pain Medicine)