ELISABETH KUSIAK (PA-C) – Physician Assistant, NPI 1588229926

ELISABETH KUSIAK (PA-C) is a healthcare provider. based in Seminole, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 033121 (NY). The NPI Number for ELISABETH KUSIAK (PA-C) is 1588229926

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ELISABETH KUSIAK (PA-C)
NPI
1588229926
Phone
(423) 314-1230
Address
7360 111TH ST
Enumeration Date
1 May 2019
Last Update Date
10 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5182729140
Graduation Year
2019 (7 years ago)
PAC ID
9436679842
Group Practice PAC ID
6103061189
Professional Enrollment ID
I20250227002984
Address ID
NY121831014GR31XXXAVEX400

Contacts

Secure Messaging
payer.credentialing@sphp.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for ELISABETH KUSIAK (PA-C)

  • 7360 111TH ST

    SEMINOLE, FL 337725827

    Phone: (423) 314-1230

    Type: Mailing

  • 4501 Mission Bay Dr # 1C&d

    San Diego, CA 921094923

    Phone: (423) 314-1230

    Type: Location

  • PO BOX 82923

    SAN DIEGO, CA 921382923

    Phone: (423) 314-1230

    Type: Mailing

  • 4501 MISSION BAY DR # 1C&D

    SAN DIEGO, CA 921094923

    Phone: (423) 314-1230

    Type: Location

  • PO BOX 14890

    ALBANY, NY 122124890

    Phone: (518) 999-9999

    Fax: (518) 649-4094

    Type: Mailing

  • 31 LOWER HUDSON AVE

    GREEN ISLAND, NY 121831014

    Phone: (518) 272-9140

    Fax: (518) 272-9145

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250227002984IPhysician AssistantNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33772)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103061189View full group profile
NameSpecialtyState
Internal MedicineNM
Critical Care (Intensivists)NY
-NY
Neurology, NephrologyNY
-NY
O B S T E T R I C S/ G Y N E C O L O G YNY
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineNY
Internal Medicine, Infectious DiseaseNY
-NY
-NY

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check ELISABETH KUSIAK (PA-C) using NPI 1588229926?
NPI 1588229926 belongs to ELISABETH KUSIAK (PA-C); compare other details if you need extra assurance.
Is there an active status for ELISABETH KUSIAK (PA-C)?
For scheduling context, ELISABETH KUSIAK (PA-C) is shown as active in the registry.
What kind of doctor is ELISABETH KUSIAK (PA-C)?
ELISABETH KUSIAK (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ELISABETH KUSIAK (PA-C)?
Directory geography for ELISABETH KUSIAK (PA-C) centers on Seminole, Florida.
When was this NPI issued?
Enumeration for ELISABETH KUSIAK (PA-C) is noted as May 1, 2019 where the registry provides it.

Similar Providers

PO BOX 20267
NPI: 1477500684
13582 OAK RUN CT
NPI: 1558390955

MS. EVE L MASSARSKY (PA-C)

Medical Physician Assistant
PO BOX 10744
NPI: 1780962316

MR. ROBERT LEWIS DIEM (PA-C)

Physician Assistant
11447 88TH AVE
NPI: 1962832139

VARLEDA MARKU (PA)

Physician Assistant
8914 85TH ST
NPI: 1235545781

ERICA A AYRAL (PA-C)

Surgical Physician Assistant
11419, 72nd Terrace, Seminole, Pinellas County, Florida, 33772, United States
NPI: 1649786781
Belcher Road, Laguna Vista, Largo, Pinellas County, Florida, United States
NPI: 1497210314
5819 ARGERIAN DR
NPI: 1508485806

KAYLA ELIZABETH MOORE (PA-C)

Physician Assistant
1477 COTTON HOLLOW RD
NPI: 1386261162