VICTORIA DANIELLE PUCKETT PA-C
NPI 1598249765
Physician Assistant in Youngstown, OH

Q: What is Victoria Puckett's NPI number?

The NPI number for Victoria Puckett is 1598249765. It was assigned to this individual provider in the NPPES registry on September 24, 2018. The provider is also known as Victoria Danielle Kissell Pa-C.

Q: What is Victoria Puckett'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 Victoria Puckett was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 24, 2018PECOS EnrolledAccepts Medicare Assignment

1001 BELMONT AVE, YOUNGSTOWN, OH 44504(330) 747-6446(330) 747-6843 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2020, Sep 24, 2018 (2 updates tracked since 2018).

On this page

About Victoria Danielle Puckett Pa-c NPPES

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

VICTORIA DANIELLE PUCKETT PA-C (NPI 1598249765) is an individual physician assistant in Youngstown, Ohio, licensed in Ohio (50.006282RX) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Indiana Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1598249765

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameVICTORIA DANIELLE PUCKETTCredential: PA-C

Location Address1001 BELMONT AVEYoungstown, OH 44504-1003

Mailing Address1001 Belmont AveYoungstown, OH 44504-1003 · (330) 747-6446 · Fax (330) 747-6843

Phone(330) 747-6446

Fax(330) 747-6843

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 24, 2018

Last NPPES UpdateJanuary 3, 20202 updates tracked since enumeration

✔ NPI 1598249765 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

License✔ Licensed in OH · 50.006282RX

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 2192

1001 BELMONT AVE, Youngstown, OH 44504

Open in Google Maps ↗

Other Names 1

Former Name (1)Victoria Danielle Kissell Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Victoria Danielle Puckett 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.

PECOS PAC ID1850638651

PECOS Enrollment IDI20220810000121

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.

Hospital Affiliations CMS Care Compare 2

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

Indiana Regional Medical Center

Acute Care Hospitals · Indiana, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390173

Location835 Hospital RoadIndiana, PA 15701 · Indiana County

Emergency services Birthing friendly

Punxsutawney Area Hospital

Acute Care Hospitals · Punxsutawney, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390199

Location81 Hillcrest DrivePunxsutawney, PA 15767 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44504 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

CHAKRI YARLAGADDA M.D.

Internal Medicine (Cardiovascular Disease)