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MISS KAELYN ELIZABETH CICCO RPA-C
NPI 1902115785
Physician Assistant - Medical in East Syracuse, NY

Active since September 28, 2010PECOS EnrolledAccepts Medicare Assignment
5800 HERITAGE LANDING DR STE C, EAST SYRACUSE, NY 13057(314) 445-2701 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2023, Jun 5, 2019 (2 updates tracked since 2019).

About Miss Kaelyn Elizabeth Cicco Rpa-c NPPES

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

MISS KAELYN ELIZABETH CICCO RPA-C (NPI 1902115785) is an individual medical provider in East Syracuse, New York, licensed in New York (014312) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1902115785
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMISS KAELYN ELIZABETH CICCOCredential: RPA-C
Location Address5800 HERITAGE LANDING DR STE CEast Syracuse, NY 13057-9378
Mailing Address1001 W Fayette St Ste 400Syracuse, NY 13204-2866 · (315) 937-3433
Phone(314) 445-2701
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 28, 2010
Last NPPES UpdateNovember 13, 20232 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
✔ NPI 1902115785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 014312
5800 HERITAGE LANDING DR STE C, East Syracuse, NY 13057
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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

Miss Kaelyn Elizabeth Cicco Rpa-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 ID6204023542
PECOS Enrollment IDI20101213000288
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.

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%1,113 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

CONSTANCE CAUGHEY NP
Nurse Practitioner (Family)
5800 HERITAGE LANDING DR STE C
EAST SYRACUSE, NY 13057
Onondaga County (315) 445-2701
MRS. JESSICA M HAYS P.A.-C.
Physician Assistant
5800 HERITAGE LANDING DR STE C
EAST SYRACUSE, NY 13057
Onondaga County (315) 445-2701
MRS. MARIA GRAZIA GIGANTE-BAGGETT NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
5800 HERITAGE LANDING DR STE C
EAST SYRACUSE, NY 13057
Onondaga County (315) 446-4400
DR. CHRISTOPHER CARLOS MEDINA M.D.
Obstetrics & Gynecology
5800 HERITAGE LANDING DR STE C
EAST SYRACUSE, NY 13057
Onondaga County (315) 445-2701
DR. STEPHEN M BROWN MD
Obstetrics & Gynecology
5800 HERITAGE LANDING DR STE C
EAST SYRACUSE, NY 13057
Onondaga County (315) 445-2701
SONIA Y KRAGH M.D.
Internal Medicine
5800 HERITAGE LANDING DR STE C
EAST SYRACUSE, NY 13057
Onondaga County (315) 882-6856

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 Kaelyn Cicco's NPI number?

The NPI number for Kaelyn Cicco is 1902115785. It was assigned to this individual provider in the NPPES registry on September 28, 2010.

Where is Kaelyn Cicco located?

Kaelyn Cicco practices at 5800 Heritage Landing Dr Ste C, East Syracuse, NY 13057. The listed phone number is (314) 445-2701.

What is Kaelyn Cicco's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kaelyn Cicco enrolled in Medicare?

Yes. Kaelyn Cicco 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.

When was this NPI record last updated?

The NPPES record for Kaelyn Cicco was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.