Kelly Sisson, AGACNP - Medicare Nurse Practitioner in Lawrenceville, GA

Kelly Sisson, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Lawrenceville, Georgia. She went to University Of South Alabama College Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northside Cardiovascular Institute, Llc and her current practice location is 575 Professional Dr Ste 400, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 962-6000.

Kelly Sisson is licensed to practice in Georgia (license number RN191117) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225604093.

Contact Information

Kelly Sisson, AGACNP
575 Professional Dr Ste 400,
Lawrenceville, GA 30046-3335
(404) 962-6000
(404) 962-6001

Map and Direction




Provider's Profile

Full NameKelly Sisson
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location575 Professional Dr Ste 400, Lawrenceville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Sisson attended and graduated from University Of South Alabama College Of Medicine in 2020
  NPI Data:
  • NPI Number: 1225604093
  • Provider Enumeration Date: 06/02/2021
  • Last Update Date: 06/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1254734411
  • Enrollment ID: I20210726001503

Medical Identifiers

Medical identifiers for Kelly Sisson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225604093NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care RN191117 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside Hospital ForsythCumming, GAHospital
Northside Hospital GwinnettLawrenceville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northside Cardiovascular Institute, Llc266870885072

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Sisson allows following entities to bill medicare on her behalf.
Entity NameNorthside Cardiovascular Professional Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518979921
PECOS PAC ID: 9739189838
Enrollment ID: O20070112000232
Entity NameNorthside Cardiovascular Institute, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962060368
PECOS PAC ID: 2668708850
Enrollment ID: O20190725001893

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Sisson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Sisson, AGACNP
575 Professional Dr Ste 400,
Lawrenceville, GA 30046-3335

Ph: (404) 962-6000
Kelly Sisson, AGACNP
575 Professional Dr Ste 400,
Lawrenceville, GA 30046-3335

Ph: (404) 962-6000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.