CARISSA MARIE KICINSKI PA-C
NPI 1992240741
Physician Assistant in Raleigh, NC

Q: What is Carissa Kicinski's NPI number?

The NPI number for Carissa Kicinski is 1992240741. It was assigned to this individual provider in the NPPES registry on January 4, 2017.

Q: What is Carissa Kicinski's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carissa Kicinski was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 January 04, 2017PECOS EnrolledAccepts Medicare Assignment

4009 BARRETT DR STE 100, RALEIGH, NC 27609(919) 848-0132 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2020, Jan 4, 2017 (2 updates tracked since 2017).

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About Carissa Marie Kicinski Pa-c NPPES

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

CARISSA MARIE KICINSKI PA-C (NPI 1992240741) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-06929) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wilson, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1992240741

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCARISSA MARIE KICINSKICredential: PA-C

Location Address4009 BARRETT DR STE 100Raleigh, NC 27609-6616

Mailing Address9228 Yardley Town DrWake Forest, NC 27587-8095 · (716) 982-4981

Phone(919) 848-0132

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 4, 2017

Last NPPES UpdateOctober 12, 20202 updates tracked since enumeration

NPPES CertifiedOctober 12, 2020

✔ NPI 1992240741 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 NC · 0010-06929

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.

4009 BARRETT DR STE 100, Raleigh, NC 27609

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Secondary Practice Location 1

Location 12503 Forest Hills Rd WWilson, NC 27893-3300 · Phone (252) 991-0555

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Carissa Marie Kicinski 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 ID4385929090

PECOS Enrollment IDI20170321000283

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 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.

135 services41 patients

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.

113 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

Other Providers at the Same Location NPPES 5

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

EMMA L DEMORIER PA-C

Physician Assistant