Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770829061 Individual Practitioner Female Practitioner

Stacy Nicole Kisor

Speech-Language Pathologist • Las Vegas, NV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacy Kisor is a certified Speech-Language Pathologist practicing in Las Vegas, NV. With approximately 14 years of clinical experience since completing medical education in 2012, Stacy Kisor delivers high-quality medical care to the local community at 5516 S FORT APACHE RD STE 130.

Stacy Kisor accepts Medicare assignment.

Frequently performed procedures and clinical services include treatment of speech, language, voice, communication, and/or hearing processing disorder, evaluation of swallowing function image, treatment of swallowing and feeding disorder. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5516 S Fort Apache Rd Ste 130

Las Vegas, NV 891487679

Telephone 7026418255
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Las Vegas, NV

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +0.4 yrs vs City Avg
City Avg: 13.6 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
453 Specialists

Practicing in Las Vegas, NV (916 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kisor (14 Years) 14 Yrs
Las Vegas Specialty Average (13.6 Years) 13.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder
140 25 $152.14 $73.65
92611 Evaluation of swallowing function image
48 48 $400.00 $89.99
92526 Treatment of swallowing and feeding disorder
37 23 $154.05 $81.91
92610 Evaluation of swallowing function
21 21 $400.00 $83.51
92524 Analysis of voice and resonance production
20 20 $412.00 $102.81

Medical Specialties & State Licenses

CMS Verified: 2020-02-26
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WA SI 60298212

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Riah Ellis , CCC-SLP

Speech-Language Pathologist

NPI 1033388095

Speech-Language Pathologist (Certificate of Clinical Competence)

Miriam Gonzalez Garcia , CF-SLP

Speech-Language Pathologist

NPI 1073245932

Clinical Fellow in Speech-Language Pathology

Erica Silvestri

Speech-Language Pathologist

NPI 1093341422
Donna Curran

Speech-Language Pathologist

NPI 1215740667
Elizabeth Khurana , MED CCC-SLP

Speech-Language Pathologist

NPI 1285076588

MEDCCCSLP

Shelley Paulson , MS CCC

Speech-Language Pathologist

NPI 1316014517

MSCCC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 26, 2020

Registered at 5516 S FORT APACHE RD STE 130, LAS VEGAS, NV 891487679 (Tel: 7026418255)

📍
Updated Business Mailing Address February 26, 2020

Registered at 5516 S FORT APACHE RD STE 130, LAS VEGAS, NV 891487679 (Tel: 7026418255)

👤
Provider Name / Credentials Updated February 26, 2020

Recorded as STACY KISOR

NPI Profile Active December 14, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 14, 2012

Registered at 901 NW SUNBURST CT, APT F 304, MOSES LAKE, WA 988371446 (Tel: 2609083697)

📍
Updated Business Mailing Address December 14, 2012

Registered at 901 NW SUNBURST CT, APT F 304, MOSES LAKE, WA 988371426 (Tel: 2609083697)

👤
Provider Name / Credentials Updated December 14, 2012

Recorded as STACY REFNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2012

Speech-Language Pathologist (License #SI 60298212 in WA)

🟢
Initial NPI Registration & Enumeration December 14, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770829061
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2012
Last Update: February 26, 2020
Sole Proprietor: Yes

Mailing Address

5516 S Fort Apache Rd Ste 130

Las Vegas, NV 891487679

Phone: 7026418255

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.