MS. KAITLYN ISOLDE ROSS (PA) – Physician Assistant, NPI 1003499161

MS. KAITLYN ISOLDE ROSS (PA) is a healthcare provider. based in Sayville, New York. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for MS. KAITLYN ISOLDE ROSS (PA) is 1003499161

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MS. KAITLYN ISOLDE ROSS (PA)
NPI
1003499161
Phone
(631) 624-2188
Address
54 COLTON AVE
Enumeration Date
5 May 2021
Last Update Date
5 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6317271600
Graduation Year
2020 (6 years ago)
PAC ID
4587040183
Group Practice PAC ID
7113817602
Professional Enrollment ID
I20221005002310
Address ID
NY119013118RI34XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

13,244 PHYSICIAN ASSISTANT in NY

Provider Addresses for MS. KAITLYN ISOLDE ROSS (PA)

  • 54 COLTON AVE

    SAYVILLE, NY 117823106

    Phone: (631) 624-2188

    Type: Mailing

  • 1 CAMPUS RD

    STATEN ISLAND, NY 103014479

    Phone: (718) 420-4151

    Type: Location

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: 2022-10-05

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
I20221005002310IPhysician 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes133121$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4744$0
99292Critical care, each additional 30 minutes2617$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2323$0
76937Ultrasonic guidance for blood vessel access2220$0
View full utilization report →

Insurance plans in this area (ZIP 11782)

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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: 7113817602View full group profile
NameSpecialtyState
Physician AssistantNY
Family PracticeNY
G A S T R O E N T E R O L O G YNY
-NY
Physician AssistantNY
Pulmonary DiseaseLA
Nurse PractitionerNY
Family PracticeNY
Pulmonary Disease, Internal MedicineNY
Family PracticeNY

Reviews

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Frequently asked questions

How do I look up MS. KAITLYN ISOLDE ROSS (PA) by NPI?
Use NPI 1003499161 when you need to reference MS. KAITLYN ISOLDE ROSS (PA) in forms, claims, or directories.
Is MS. KAITLYN ISOLDE ROSS (PA)'s NPI currently valid?
The extract we use shows MS. KAITLYN ISOLDE ROSS (PA) as active.
Does MS. KAITLYN ISOLDE ROSS (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for MS. KAITLYN ISOLDE ROSS (PA). Clinical services aligned with this taxonomy classification.
Does MS. KAITLYN ISOLDE ROSS (PA) practice in New York?
You will see Sayville, New York on file for MS. KAITLYN ISOLDE ROSS (PA) alongside any extra practice locations.
What if Sayville, New York seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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