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

Q: What is Kerry Nie's NPI number?

The NPI number for Kerry Nie is 1780770057. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Kerry Nie's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kerry Nie was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 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: August 09, 2026.

On this page

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

Phone(937) 208-3220

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

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Other Identifiers 6

Medicare ID-Type UnspecifiedNIPA26021OH

Medicare PINH380950OH

Medicare UPINQ57621

Medicare PINNIPA26022

Medicare PINNIPA26023

Medicaid0110876OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerry Kunrong Nie Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

JEFFREY R MILLARD MD

Hospitalist

30 E APPLE ST, STE 6250
DAYTON, OH 45409

Montgomery County (937) 208-8394

AHMED MOHANDES MD

Internal Medicine

30 E APPLE ST, SUITE 6250
DAYTON, OH 45409

Montgomery County (937) 208-8394

AMBER MICHELLE SERNA FNP

Nurse Practitioner (Family)

30 E APPLE ST, STE NW 3300
DAYTON, OH 45409

Montgomery County (937) 208-8394

KELLY M THOBE PA

Physician Assistant

30 E APPLE ST, SUITE 5253
DAYTON, OH 45409

Montgomery County (937) 208-2552

PREMIER HEALTH SPECIALISTS INC

Surgery

30 E APPLE ST, STE 6258
DAYTON, OH 45409

Montgomery County (937) 208-5300

CRYSTAL GILLIGAN

Nurse Practitioner (Acute Care)

30 E APPLE ST, SUITE 5254A
DAYTON, OH 45409

Montgomery County (937) 208-4200

DR. FADI M TAYIM PH.D.

Clinical Neuropsychologist

30 E APPLE ST, SUITE 5254A
DAYTON, OH 45409

Montgomery County (937) 208-4200

DEBORAH LYNNE CONLEY RN

Registered Nurse

30 E APPLE ST, SUITE 6252
DAYTON, OH 45409

Montgomery County (937) 208-6232

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 Kerry Nie's NPI number?

The NPI number for Kerry Nie is 1780770057. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Kerry Nie located?

Kerry Nie practices at 30 E Apple St Ste 1480, Dayton, OH 45409. The listed phone number is (937) 208-3220.

What is Kerry Nie's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kerry Nie enrolled in Medicare?

Yes. Kerry Nie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kerry Nie was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.