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KATHLEEN M KISSANE RN, CRNP, MSN
NPI 1477546117
Nurse Practitioner in Frederick, MD

Active since August 29, 2005PECOS Enrolled
5500 BUCKEYSTOWN PIKE, FREDERICK, MD 21703(240) 379-6045(240) 379-6050 Get Directions Write a Review

NPPES record last updated: May 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen M Kissane Rn, Crnp, Msn NPPES

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

KATHLEEN M KISSANE RN, CRNP, MSN (NPI 1477546117) is an individual nurse practitioner in Frederick, Maryland, licensed in Maryland (R089131) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477546117
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHLEEN M KISSANECredential: RN, CRNP, MSN
Location Address5500 BUCKEYSTOWN PIKEFrederick, MD 21703-8331
Mailing AddressPo Box 277045Atlanta, GA 30384-7045 · (240) 566-3330 · Fax (240) 566-3892
Phone(240) 379-6045
Fax(240) 379-6050
Sole ProprietorNo
Enumeration DateAugust 29, 2005
Last NPPES UpdateMay 17, 2011
✔ NPI 1477546117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MD · R089131
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License R089131 (MD)
5500 BUCKEYSTOWN PIKE, Frederick, MD 21703
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Other Identifiers 2

Other2221-0247MD · Cert. Diabetes Ed.
Other1257868Aetna Pvn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen M Kissane Rn, Crnp, Msn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21703 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

Other Providers at the Same Location NPPES 11

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

DOUGLAS W SHEPARD
Hearing Instrument Specialist
5500 BUCKEYSTOWN PIKE
FREDERICK, MD 21703
Frederick County (301) 696-9757
FREDERICK MEMORIAL HOSPITAL INC
Dietitian, Registered
5500 BUCKEYSTOWN PIKE
FREDERICK, MD 21703
Frederick County (240) 379-6045
ALLEGANY OPTICAL LLC
Optometrist
5500 BUCKEYSTOWN PIKE, STE. 876
FREDERICK, MD 21703
Frederick County (301) 663-4745
PEARLE VISION INC
Eyewear Supplier
5500 BUCKEYSTOWN PIKE, FRANCIS SCOTT KEY MALL STE #620
FREDERICK, MD 21703
Frederick County (301) 694-7272
SUSAN BALDWIN RN,CDE
Registered Nurse (Diabetes Educator)
5500 BUCKEYSTOWN PIKE, FMH WELLNESS CENTER
FREDERICK, MD 21703
Frederick County (240) 379-6010
MS. JANICE DRASS MA, RN, CDE
Registered Nurse (Diabetes Educator)
5500 BUCKEYSTOWN PIKE
FREDERICK, MD 21703
Frederick County (240) 379-6045
PHYLLIS SCHILLING RN, CDE
Registered Nurse (Diabetes Educator)
5500 BUCKEYSTOWN PIKE
FREDERICK, MD 21703
Frederick County (240) 379-6045
MS. CAMILLE REES N.P.
Nurse Practitioner (Adult Health)
5500 BUCKEYSTOWN PIKE
FREDERICK, MD 21703
Frederick County (240) 379-6000

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 Kathleen Kissane's NPI number?

The NPI number for Kathleen Kissane is 1477546117. It was assigned to this individual provider in the NPPES registry on August 29, 2005.

Where is Kathleen Kissane located?

Kathleen Kissane practices at 5500 Buckeystown Pike, Frederick, MD 21703. The listed phone number is (240) 379-6045.

What is Kathleen Kissane's specialty?

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

Is Kathleen Kissane enrolled in Medicare?

Yes. Kathleen Kissane is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Kissane was last updated on May 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.