Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHRYN MARIE HISSONG ACAGNP-BC
NPI 1992519649
Nurse Practitioner - Adult Health in Traverse City, MI

Active since February 04, 2025PECOS Enrolled
1221 SIXTH ST STE 300, TRAVERSE CITY, MI 49684(231) 392-0640 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Feb 4, 2025 (2 updates tracked since 2025).

About Kathryn Marie Hissong Acagnp-bc NPPES

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

KATHRYN MARIE HISSONG ACAGNP-BC (NPI 1992519649) is an individual adult health provider in Traverse City, Michigan, licensed in Michigan (4704278432) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1992519649
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKATHRYN MARIE HISSONGCredential: ACAGNP-BC
Location Address1221 SIXTH ST STE 300Traverse City, MI 49684-2360
Mailing Address2980 Arborvitae Dr Apt 2Traverse City, MI 49685-6706 · (810) 869-1754
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 4, 2025
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1992519649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MI · 4704278432
1221 SIXTH ST STE 300, Traverse City, MI 49684

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

Kathryn Marie Hissong Acagnp-bc 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 ID6800385121
PECOS Enrollment IDI20251028002078
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.

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 20

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

Neurological Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Physician Assistant
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Neurological Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Psychiatry & Neurology (Vascular Neurology)
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Psychiatry & Neurology (Vascular Neurology)
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Specialist
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684

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 Kathryn Hissong's NPI number?

The NPI number for Kathryn Hissong is 1992519649. It was assigned to this individual provider in the NPPES registry on February 4, 2025.

Where is Kathryn Hissong located?

Kathryn Hissong practices at 1221 Sixth St Ste 300, Traverse City, MI 49684. The listed phone number is (231) 392-0640.

What is Kathryn Hissong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kathryn Hissong enrolled in Medicare?

Yes. Kathryn Hissong 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.

Is Kathryn Hissong affiliated with any hospitals?

According to CMS data, Kathryn Hissong is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Kathryn Hissong was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.