KRISTIN DICELLO PA-C
NPI 1912444142
Physician Assistant in Novi, MI

Active since January 26, 2017PECOS EnrolledAccepts Medicare Assignment
80.53/100
CMS Quality Rating
47601 GRAND RIVER AVE, SUITE C202, NOVI, MI 48374(248) 465-5955 Get Directions Write a Review

NPPES record last updated: January 26, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kristin Dicello Pa-c NPPES

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

KRISTIN DICELLO PA-C (NPI 1912444142) is an individual physician assistant in Novi, Michigan, licensed in Michigan (5601008080) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1912444142
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTIN DICELLOCredential: PA-C
Location Address47601 GRAND RIVER AVE, SUITE C202Novi, MI 48374-1233
Mailing Address1120 Edison BlvdPort Huron, MI 48060-2030 · (734) 255-2450
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 26, 2017
NPI 1912444142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601008080
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

47601 GRAND RIVER AVE, Novi, MI 48374

Accepted Insurance

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

Kristin Dicello Pa-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 ID1759658586
PECOS Enrollment IDI20170530000956
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 3

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.

Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
66 services28 patients
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic G2012
A virtual check-in is a short online or phone consultation with your healthcare provider. It's for established patients and isn't related to a recent appointment. It's a convenient way to discuss health concerns without needing to visit the office in person.
16 services16 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48374 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

80.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.56
Promoting Interoperability100
Improvement Activities40
Cost61.55

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.

Hospitalist
47601 GRAND RIVER AVE, C106
NOVI, MI 48374
Physical Therapy Assistant
47601 GRAND RIVER AVE
NOVI, MI 48374
Surgery
47601 GRAND RIVER AVE, STE B129
NOVI, MI 48374
Physical Therapist
47601 GRAND RIVER AVE
NOVI, MI 48374
Nurse Practitioner (Family)
47601 GRAND RIVER AVE
NOVI, MI 48374
Clinic/Center (Primary Care)
47601 GRAND RIVER AVE, SUITE B-230
NOVI, MI 48374
General Acute Care Hospital
47601 GRAND RIVER AVE
NOVI, MI 48374
Dietitian, Registered
47601 GRAND RIVER AVE
NOVI, MI 48374

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 Kristin Dicello's NPI number?

The NPI number for Kristin Dicello is 1912444142. It was assigned to this individual provider in the NPPES registry on January 26, 2017.

Where is Kristin Dicello located?

Kristin Dicello practices at 47601 Grand River Ave Suite C202, Novi, MI 48374. The listed phone number is (248) 465-5955.

What is Kristin Dicello's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kristin Dicello enrolled in Medicare?

Yes. Kristin Dicello 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.

What insurance does Kristin Dicello accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Kristin Dicello 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.

Is Kristin Dicello affiliated with any hospitals?

According to CMS data, Kristin Dicello is affiliated with Ascension Providence Hospital, Southfield And Novi.

When was this NPI record last updated?

The NPPES record for Kristin Dicello was last updated on January 26, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.