KACEY DIVINCENZO PA-C
NPI 1558082644
Physician Assistant in Warren, OH
About Kacey Divincenzo Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KACEY DIVINCENZO PA-C (NPI 1558082644) is an individual physician assistant in Warren, Ohio, licensed in Ohio (50.007802RX) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Hmhp St Elizabeth Boardman Health Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
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
Kacey Divincenzo 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hmhp St Elizabeth Boardman Health Center
Acute Care Hospitals · Boardman, OHSurgical Hospital At Southwoods
Acute Care Hospitals · Youngstown, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44483 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kacey Divincenzo's NPI number?
The NPI number for Kacey Divincenzo is 1558082644. It was assigned to this individual provider in the NPPES registry on September 7, 2022. The provider is also known as Kacey Rasp Pa-C.
Where is Kacey Divincenzo located?
Kacey Divincenzo practices at 2473 North Rd NE, Warren, OH 44483. The listed phone number is (330) 372-2251.
What is Kacey Divincenzo's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kacey Divincenzo enrolled in Medicare?
Yes. Kacey Divincenzo 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.
What insurance does Kacey Divincenzo accept?
Health plans from CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Kacey Divincenzo 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.
Is Kacey Divincenzo affiliated with any hospitals?
According to CMS data, Kacey Divincenzo is affiliated with Hmhp St Elizabeth Boardman Health Center and Surgical Hospital At Southwoods.
When was this NPI record last updated?
The NPPES record for Kacey Divincenzo was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kacey Divincenzo, PA-C · NPI 1558082644
Physician Assistant physician in Warren, Ohio. Individual provider, active in the CMS NPPES registry since September 7, 2022.
## Identity
- **NPI:** 1558082644 (Entity type: Individual)
- **Enumerated:** September 7, 2022
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 50.007802RX (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 2473 NORTH RD NE, Warren, OH 44483-3054
- **Phone:** (330) 372-2251
## 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:** December 30, 2025
- **Other identifiers:** Medicaid 0001385 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1558082644) · Data from the CMS NPPES public registry.