KACPER KISALA PA-C
NPI 1518704030
Physician Assistant - Surgical in Enfield, CT
About Kacper Kisala Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KACPER KISALA PA-C (NPI 1518704030) is an individual surgical provider in Enfield, Connecticut, licensed in Connecticut (6665) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Ctr, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Kacper Kisala Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Medical Ctr
Acute Care Hospitals · Springfield, MAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ENFIELD, CT 06082
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 Kacper Kisala's NPI number?
The NPI number for Kacper Kisala is 1518704030. It was assigned to this individual provider in the NPPES registry on July 11, 2024.
Where is Kacper Kisala located?
Kacper Kisala practices at 148 Hazard Ave, Enfield, CT 06082. The listed phone number is (860) 763-7650.
What is Kacper Kisala's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Kacper Kisala enrolled in Medicare?
Yes. Kacper Kisala 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.
Is Kacper Kisala affiliated with any hospitals?
According to CMS data, Kacper Kisala is affiliated with Mercy Medical Ctr.
When was this NPI record last updated?
The NPPES record for Kacper Kisala was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kacper Kisala, PA-C · NPI 1518704030
Surgical physician in Enfield, Connecticut. Individual provider, active in the CMS NPPES registry since July 11, 2024.
## Identity
- **NPI:** 1518704030 (Entity type: Individual)
- **Enumerated:** July 11, 2024
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 6665 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 148 HAZARD AVE, Enfield, CT 06082-4520
- **Phone:** (860) 763-7650
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1518704030) · Data from the CMS NPPES public registry.