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Active NPI 1558082644 Individual Practitioner Female Practitioner

Kacey Divincenzo , PA-C

Physician Assistant • Warren, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kacey Divincenzo, PA-C is a certified Physician Assistant practicing in Warren, OH. With approximately 4 years of clinical experience since completing medical education in 2022, Kacey Divincenzo delivers high-quality medical care to the local community at 2473 NORTH RD NE.

Kacey Divincenzo maintains professional affiliations with Triad Health Services Llc, Comprehensive Rehab Consultants Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2473 North Rd Ne

Warren, OH 444833054

Telephone 3303722251
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Warren, OH

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -6.3 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Warren, OH (5376 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
80.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Divincenzo (4 Years) 4 Yrs
Warren Specialty Average (10.3 Years) 10.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
379 186 $401.00 $77.58
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
372 162 $48.00 $13.28
99213 Established patient office or other outpatient visit, typically 15 minutes
223 115 $285.00 $52.71

Medical Specialties & State Licenses

CMS Verified: 2025-12-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.007802RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0001385 (OH)

Hospital & Practice Group Affiliations

Comprehensive Rehab Consultants Pllc

2473 N Rd Ne, Warren, OH 444833054

Phone: 3303722251

Triad Health Services Llc

7629 Market St, Youngstown, OH 445126051

Triad Health Services Llc

250 Debartolo Pl, Youngstown, OH 445126090

Phone: 3307298000

Secondary Practice Locations

250 Debartolo Pl Ste B

Youngstown, OH 445127004

Phone: 2346831015

Practice Associates & Co-Workers

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

2 Associated Practitioners
Rebecca Komara , FNP-C

Nurse Practitioner - Family

NPI 1316777691

Family Nurse Practitioner (Certified)

Karen Potts , LPTA, RN

Registered Nurse

NPI 1649475393

Licensed Physical Therapist Assistant, Registered Nurse

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location December 30, 2025

Registered at 2473 NORTH RD NE, WARREN, OH 444833054 (Tel: 3303722251)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2025

Physician Assistant (License #50.007802RX in OH)

📍
Updated Practice Location August 14, 2024

Registered at 250 DEBARTOLO PL STE B, BOARDMAN, OH 445127004 (Tel: 3303149100)

👤
Provider Name / Credentials Updated August 11, 2024

Recorded as KACEY DIVINCENZO, PA-C

NPI Profile Active September 07, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2022

Registered at 250 DEBARTOLO PL, BOARDMAN, OH 445127004 (Tel: 3303149100)

📍
Updated Business Mailing Address September 07, 2022

Registered at 517 OPHELIA ST, NEWTON FALLS, OH 444441470 (Tel: 3309802237)

👤
Provider Name / Credentials Updated September 07, 2022

Recorded as KACEY RASP, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 07, 2022

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: 1558082644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2022
Last Update: December 30, 2025
Sole Proprietor: No

Mailing Address

517 Ophelia St

Newton Falls, OH 444441470

Phone: 3309802237

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.