KRISTIN PISANO (PA-C) – Physician Assistant, NPI 1184075194

KRISTIN PISANO (PA-C) is a healthcare provider. based in Agawam, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA5587 (MA). The NPI Number for KRISTIN PISANO (PA-C) is 1184075194

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN PISANO (PA-C)
NPI
1184075194
Phone
(413) 374-0031
Address
1 S END BRIDGE CIR
Enumeration Date
30 June 2016
Last Update Date
30 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4133740031
Graduation Year
2015 (11 years ago)
PAC ID
1153609342
Group Practice PAC ID
7315483583
Professional Enrollment ID
I20161021001523
Address ID
MA010603664NO50XXXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

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Provider Addresses for KRISTIN PISANO (PA-C)

  • South End Bridge, Agawam, Hampden County, Massachusetts, 01108, United States

    AGAWAM, MA 010012020

    Phone: (413) 374-0031

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2016-10-21

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
I20161021001523IPhysician AssistantMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes43070$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes39666$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes5132$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2929$0
View full utilization report →

Insurance plans in this area (ZIP 01001)

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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: 7315483583View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

How do I look up KRISTIN PISANO (PA-C) by NPI?
Use NPI 1184075194 when you need to reference KRISTIN PISANO (PA-C) in forms, claims, or directories.
Is KRISTIN PISANO (PA-C) currently active in the NPI registry?
CMS-published data lists KRISTIN PISANO (PA-C) as an active registrant.
What kind of provider is KRISTIN PISANO (PA-C)?
The page reflects Physician Assistant for KRISTIN PISANO (PA-C). Clinical services aligned with this taxonomy classification.
Does KRISTIN PISANO (PA-C) practice in Massachusetts?
You will see Agawam, Massachusetts on file for KRISTIN PISANO (PA-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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