KERRY KUNRONG NIE PA-C
NPI 1780770057
Physician Assistant - Surgical in Dayton, OH

Active since October 05, 2006PECOS Enrolled
30 E APPLE ST, STE 1480, DAYTON, OH 45409(937) 208-3220(937) 208-3633 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kerry Kunrong Nie Pa-c NPPES

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

KERRY KUNRONG NIE PA-C (NPI 1780770057) is an individual surgical provider in Dayton, Ohio, licensed in Ohio (50002031) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780770057
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKERRY KUNRONG NIECredential: PA-C
Location Address30 E APPLE ST, STE 1480Dayton, OH 45409-2939
Mailing Address30 E Apple St, Ste 1480Dayton, OH 45409-2939 · (937) 208-3220 · Fax (937) 208-3633
Fax(937) 208-3633
Sole ProprietorYes
Enumeration DateOctober 5, 2006
Last NPPES UpdateAugust 10, 2015
NPI 1780770057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in OH · 50002031
30 E APPLE ST, Dayton, OH 45409

Other Identifiers 6

Medicare ID-Type UnspecifiedNIPA26021OH
Medicare PINH380950OH
Medicare UPINQ57621
Medicare PINNIPA26022
Medicare PINNIPA26023
Medicaid0110876OH

Medicare Participation & PECOS Enrollment Status

Kerry Nie is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
30 E APPLE ST, SUITE 6252
DAYTON, OH 45409
Physician Assistant (Surgical)
30 E APPLE ST, SUITE 6252
DAYTON, OH 45409
Obstetrics & Gynecology
30 E APPLE ST, SUITE 5257
DAYTON, OH 45409
Physical Therapist
30 E APPLE ST, SUITE 6254
DAYTON, OH 45409
Obstetrics & Gynecology
30 E APPLE ST, SUITE 5257
DAYTON, OH 45409
Physical Therapist
30 E APPLE ST, SUITE6254
DAYTON, OH 45409
Thoracic Surgery (Cardiothoracic Vascular Surgery)
30 E APPLE ST, SUITE 6252
DAYTON, OH 45409
Neurological Surgery
30 E APPLE ST, SUITE 6254
DAYTON, OH 45409
Neurological Surgery
30 E APPLE ST, SUITE 6254
DAYTON, OH 45409
Neurological Surgery
30 E APPLE ST, SUITE 6254
DAYTON, OH 45409
Internal Medicine
30 E APPLE ST, SUITE 6250
DAYTON, OH 45409
Physical Therapist
30 E APPLE ST, STE 6254
DAYTON, OH 45409
Internal Medicine
30 E APPLE ST, SUITE 6250
DAYTON, OH 45409
Surgery
30 E APPLE ST, SUITE 6258
DAYTON, OH 45409
Hospitalist
30 E APPLE ST, SUITE 1600
DAYTON, OH 45409
Internal Medicine
30 E APPLE ST, SUITE 6250
DAYTON, OH 45409
Orthopaedic Surgery
30 E APPLE ST, MVH, SUITE 2200
DAYTON, OH 45409
Hospitalist
30 E APPLE ST, STE 6250
DAYTON, OH 45409
Surgery
30 E APPLE ST, SUITE 6258
DAYTON, OH 45409
Registered Nurse
30 E APPLE ST, SUITE 6254
DAYTON, OH 45409

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780770057, enumerated as an "individual" on October 05, 2006.

The provider is located at 30 E APPLE ST STE 1480 DAYTON, OH 45409 and the phone number is (937) 208-3220.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.