TATIANA KISLUK DNP
NPI 1649673641
Nurse Practitioner - Family in Fountainville, PA

Active since October 03, 2014PECOS EnrolledAccepts Medicare Assignment
5039 SWAMP RD STE 401, FOUNTAINVILLE, PA 18923(215) 230-8380(215) 230-8370 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Nov 28, 2017 (2 updates tracked since 2017).

About Tatiana Kisluk Dnp NPPES

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

TATIANA KISLUK DNP (NPI 1649673641) is an individual family provider in Fountainville, Pennsylvania, licensed in Pennsylvania (SP014012) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Owensboro Health Twin Lakes Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1649673641
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTATIANA KISLUKCredential: DNP
Location Address5039 SWAMP RD STE 401Fountainville, PA 18923-9663
Mailing AddressPo Box 417Fountainville, PA 18923-0417 · (215) 230-8380 · Fax (215) 230-8370
Fax(215) 230-8370
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 3, 2014
Last NPPES UpdateMay 2, 20252 updates tracked since enumeration
NPPES CertifiedMay 2, 2025
NPI 1649673641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in PA · SP014012 Licensed in KY · 4036583
5039 SWAMP RD STE 401, Fountainville, PA 18923

Secondary Practice Locations 3

Location 1910 Wallace AveLeitchfield, KY 42754-2414 · Phone (270) 259-9555 · Fax (270) 259-9555
Location 21201 Pleasant Valley RdOwensboro, KY 42303-9811 · Phone (270) 417-4700
Location 3140 Nutt RdPhoenixville, PA 19460-3906 · Phone (610) 983-1481 · Fax (610) 422-5200

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

Tatiana Kisluk Dnp 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 ID1153543798
PECOS Enrollment IDI20141114000239, I20250513003314
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.

Owensboro Health Twin Lakes Medical Center

Acute Care Hospitals · Leitchfield, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180070
Location910 Wallace AvenueLeitchfield, KY 42754 · Grayson County
Emergency services Birthing friendly

Northern Light Maine Coast Hospital

Acute Care Hospitals · Ellsworth, ME
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200050
Location50 Union StreetEllsworth, ME 04605 · Hancock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18923 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 3

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

Nurse Practitioner (Family)
5039 SWAMP RD STE 401
FOUNTAINVILLE, PA 18923
Nurse Practitioner (Adult Health)
5039 SWAMP RD STE 401
FOUNTAINVILLE, PA 18923
Nurse Practitioner (Family)
5039 SWAMP RD STE 401
FOUNTAINVILLE, PA 18923

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 Tatiana Kisluk's NPI number?

The NPI number for Tatiana Kisluk is 1649673641. It was assigned to this individual provider in the NPPES registry on October 3, 2014.

Where is Tatiana Kisluk located?

Tatiana Kisluk practices at 5039 Swamp Rd Ste 401, Fountainville, PA 18923. The listed phone number is (215) 230-8380.

What is Tatiana Kisluk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tatiana Kisluk enrolled in Medicare?

Yes. Tatiana Kisluk 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 Tatiana Kisluk affiliated with any hospitals?

According to CMS data, Tatiana Kisluk is affiliated with Owensboro Health Twin Lakes Medical Center and Northern Light Maine Coast Hospital.

When was this NPI record last updated?

The NPPES record for Tatiana Kisluk was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.