RACHEL RENEE KISSE PA-C
NPI 1972361640
Physician Assistant - Medical in Dickinson, ND

Active since March 07, 2024PECOS EnrolledAccepts Medicare Assignment
2500 FAIRWAY ST, DICKINSON, ND 58601(701) 456-4000 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 20, 2024, Mar 7, 2024 (2 updates tracked since 2024).

About Rachel Renee Kisse Pa-c NPPES

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

RACHEL RENEE KISSE PA-C (NPI 1972361640) is an individual medical provider in Dickinson, North Dakota, licensed in North Dakota (PAC1099) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health Dickinson, and maintains a secondary practice location in Dodge.

NPPES Registry Identity

NPI1972361640
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameRACHEL RENEE KISSECredential: PA-C
Location Address2500 FAIRWAY STDickinson, ND 58601-2639
Mailing AddressPo Box 143Dodge, ND 58625-0143 · (701) 690-3661
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 7, 2024
Last NPPES UpdateNovember 20, 20242 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
NPI 1972361640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in ND · PAC1099
2500 FAIRWAY ST, Dickinson, ND 58601

Secondary Practice Location 1

Location 1204 Central AveDodge, ND 58625-2509 · Phone (701) 690-3661

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

Rachel Renee Kisse 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 ID3779011226
PECOS Enrollment IDI20250110002529
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.

Hospital Affiliations CMS Care Compare

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

Chi St Alexius Health Dickinson

Critical Access Hospitals · Dickinson, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351336
Location2500 Fairway StreetDickinson, ND 58601 · Stark County
Emergency services Birthing friendly

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.

Physical Therapist
2500 FAIRWAY ST
DICKINSON, ND 58601
Physical Therapist
2500 FAIRWAY ST
DICKINSON, ND 58601
Speech-Language Pathologist
2500 FAIRWAY ST, REHAB SERVICES
DICKINSON, ND 58601
Physician Assistant
2500 FAIRWAY ST
DICKINSON, ND 58601
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2500 FAIRWAY ST
DICKINSON, ND 58601
Family Medicine
2500 FAIRWAY ST
DICKINSON, ND 58601
Emergency Medicine
2500 FAIRWAY ST
DICKINSON, ND 58601
Nurse Anesthetist, Certified Registered
2500 FAIRWAY ST
DICKINSON, ND 58601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972361640, enumerated as an "individual" on March 07, 2024.

The provider is located at 2500 FAIRWAY ST DICKINSON, ND 58601 and the phone number is (701) 456-4000.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Medica and. Please consult your insurance carrier or call the provider to verify.

Rachel Kisse is affiliated with: CHI ST ALEXIUS HEALTH DICKINSON.