ARDIE KISSINGER – Clinical Social Worker, NPI 1316452386

ARDIE KISSINGER is a healthcare provider. based in Bloomsburg, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold a License No. CW015907 (PA). The NPI Number for ARDIE KISSINGER is 1316452386

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
ARDIE KISSINGER
NPI
1316452386
Phone
Not provided
Address
20 SPYGLASS HILL RD
Enumeration Date
12 December 2017
Last Update Date
12 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5709613361
Graduation Year
1999 (27 years ago)
PAC ID
1658635065
Group Practice PAC ID
5890950281
Professional Enrollment ID
I20180511001884
Address ID
PA185071323MO4101XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,438 CLINICAL SOCIAL WORKER in PA

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Provider Addresses for ARDIE KISSINGER

  • 20 SPYGLASS HILL RD

    BLOOMSBURG, PA 178159517

    Phone:

    Type: Mailing

  • Bloomsburg, Columbia County, Pennsylvania, United States

    BLOOMSBURG, PA 178153371

    Phone: (570) 356-2206

    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: 2018-05-11

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
I20180511001884IClinical Social WorkerPATBD

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 17815)

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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: 5890950281View full group profile
NameSpecialtyState
-PA
Clinical PsychologistPA
-PA
Mental Health CounselorPA
Clinical Social WorkerPA
Clinical Social WorkerFL
Clinical Social WorkerMA
Mental Health CounselorPA
Clinical Social WorkerPA
Clinical Social WorkerPA

Reviews

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Frequently asked questions

How do payers reference ARDIE KISSINGER?
For ARDIE KISSINGER, use NPI 1316452386 as the unique 10-digit identifier.
Is there an active status for ARDIE KISSINGER?
For scheduling context, ARDIE KISSINGER is shown as active in the registry.
What expertise is attributed to ARDIE KISSINGER?
ARDIE KISSINGER's specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with ARDIE KISSINGER?
Directory geography for ARDIE KISSINGER centers on Bloomsburg, Pennsylvania.
Does ARDIE KISSINGER accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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