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MS. ANGELA CHANNELLE KISELYK
NPI 1912058694
Physician Assistant - Medical in Mesa, AZ

Active since January 16, 2007PECOS Enrolled
4315 E MAIN ST, MESA, AZ 85205(480) 870-7500(480) 906-2173 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Angela Channelle Kiselyk NPPES

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

MS. ANGELA CHANNELLE KISELYK (NPI 1912058694) is an individual medical provider in Mesa, Arizona, licensed in Arizona (3091) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912058694
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. ANGELA CHANNELLE KISELYK
Location Address4315 E MAIN STMesa, AZ 85205-8605
Mailing Address102 Woodmont Blvd Ste 600Nashville, TN 37205-5250 · (888) 987-1151
Phone(480) 870-7500
Fax(480) 906-2173
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJune 6, 2025
NPPES CertifiedJune 6, 2025
✔ NPI 1912058694 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 AZ · 3091
4315 E MAIN ST, Mesa, AZ 85205
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Angela Channelle Kiselyk 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services13 patients

Other Providers at the Same Location NPPES 11

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

NASRIN JAZAYERI N.P.
Nurse Practitioner (Family)
4315 E MAIN ST
MESA, AZ 85205
Maricopa County (480) 870-7500
CHANCE ALLAN JUDD PA-C
Physician Assistant
4315 E MAIN ST
MESA, AZ 85205
Maricopa County (480) 870-7500
DR. JAY MITCHELL PHARM.D
Pharmacist
4315 E MAIN ST
MESA, AZ 85205
Maricopa County (480) 654-0260
SPENCER CASEY SCOTT DO
Family Medicine
4315 E MAIN ST
MESA, AZ 85205
Maricopa County (480) 870-7500
LISA L FULLER M.D.
Preventive Medicine (Occupational Medicine)
4315 E MAIN ST
MESA, AZ 85205
Maricopa County (480) 870-7500
ARCHWELL HEALTH PROFESSIONAL SERVICES OF ARIZONA, LLC
Internal Medicine
4315 E MAIN ST
MESA, AZ 85205
Maricopa County (480) 870-7500
DR. ANNA SOKOLOWSKI M.D.
Family Medicine
4315 E MAIN ST
MESA, AZ 85205
Maricopa County (480) 870-7500
MRS. WENDY L DODT RPH
Pharmacist
4315 E MAIN ST
MESA, AZ 85205
Maricopa County (480) 654-0260

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 Angela Kiselyk's NPI number?

The NPI number for Angela Kiselyk is 1912058694. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Angela Kiselyk located?

Angela Kiselyk practices at 4315 E Main St, Mesa, AZ 85205. The listed phone number is (480) 870-7500.

What is Angela Kiselyk's specialty?

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

Is Angela Kiselyk enrolled in Medicare?

Yes. Angela Kiselyk is registered in the Medicare PECOS enrollment system.

What insurance does Angela Kiselyk accept?

Health plans from Imperial Insurance Companies, Inc. list Angela Kiselyk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angela Kiselyk was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.