Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAUREN MICHELLE KISSOCK PA-S
NPI 1558994459
Physician Assistant in Fort Myers, FL

Q: What is Lauren Kissock's NPI number?

The NPI number for Lauren Kissock is 1558994459. It was assigned to this individual provider in the NPPES registry on February 19, 2020.

Q: What is Lauren Kissock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Lauren Kissock was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.

Active since February 19, 2020PECOS EnrolledAccepts Medicare Assignment

77.83/100

CMS Quality Rating

9981 S HEALTHPARK DR STE 156, FORT MYERS, FL 33908(239) 343-6341(239) 343-4242 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2026, Jan 19, 2026, Jan 12, 2026 and 3 more (6 updates tracked since 2020).

On this page

About Lauren Michelle Kissock Pa-s NPPES

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

LAUREN MICHELLE KISSOCK PA-S (NPI 1558994459) is an individual physician assistant in Fort Myers, Florida, licensed in Florida (PA9122313) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and maintains a secondary practice location in Austin.

NPPES Registry Identity

NPI1558994459

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLAUREN MICHELLE KISSOCKCredential: PA-S

Location Address9981 S HEALTHPARK DR STE 156Fort Myers, FL 33908-3618

Mailing Address1010 W 40th StAustin, TX 78756-4010 · (512) 459-8753 · Fax (512) 483-6807

Phone(239) 343-6341

Fax(239) 343-4242

Sole ProprietorNo

Medical School CMSPacific Medical CollegeGraduated 2020

Enumeration DateFebruary 19, 2020

Last NPPES UpdateOctober 1, 20266 updates tracked since enumeration

NPPES CertifiedOctober 1, 2026

✔ NPI 1558994459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in FL · PA9122313✔ Licensed in TX · PA14137

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA14137 (TX), PA9122313 (FL)

9981 S HEALTHPARK DR STE 156, Fort Myers, FL 33908

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Secondary Practice Location 1

Location 11010 W 40th StAustin, TX 78756-4010 · Phone (512) 459-8753 · Fax (512) 483-6807

Other Identifiers 2

Medicaid132906200FL

Medicaid4192098TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Lauren Michelle Kissock Pa-s 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 ID345653465

PECOS Enrollment IDI20210111001925

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 4

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.

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

16 services16 patients

Relocation of arm vein with connection to arm artery for hemodialysis 36821

This procedure involves moving a vein in your arm and connecting it to an artery. This creates a larger, stronger vein that can be used for hemodialysis, a treatment for kidney disease. It helps clean your blood when your kidneys can't.

15 services14 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

14 services14 patients

Revision of hemodialysis graft 36832

A revision of a hemodialysis graft is a procedure to fix issues with the graft used for dialysis. This can involve clearing blockages or improving blood flow. It helps ensure the graft continues to work effectively for your dialysis treatments.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St David's Medical Center

Acute Care Hospitals · Austin, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450431

Location919 E 32nd StAustin, TX 78705 · Travis County

Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450718

Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33908 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

77.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.24

Promoting Interoperability

Improvement Activities

Cost

58.2

Other Providers at the Same Location NPPES 17

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

NALANI A YAEGER APRN

Nurse Practitioner (Gerontology)