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Active NPI 1033443205 Individual Practitioner Female Practitioner

Kerry Elaine Bussoletti , PA

Physician Assistant • Warren, PA

Professional Overview & Biography Verified Profile Summary

Kerry Bussoletti, PA is a registered healthcare professional specializing in Physician Assistant in Warren, PA. Practice services are available at 2 W CRESCENT PARK under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2 W Crescent Park

Warren, PA 163652111

Telephone 8147232510
Fax 8147234654
Associated Practice Facility / Clinic
🏢 Renal Care Of Warren, Llc Facility NPI 1720072093

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Warren, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.9 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
21 Specialists

Practicing in Warren, PA (8068 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
43.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
17 14 $110.00 $62.46

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PA MA054014

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Melissa Carter , DO

Emergency Medicine

NPI 1396831731

Doctor of Osteopathic Medicine (D.O.)

Dr. Jessica Shepherd , DO

Emergency Medicine

NPI 1528276128

Doctor of Osteopathic Medicine (D.O.)

Dr. Gregory Pierson , MD

Emergency Medicine

NPI 1578552873

Doctor of Medicine (M.D.)

Dr. Michael Faulk , MD

Emergency Medicine

NPI 1780899567

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 03, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2013

Registered at 2 W CRESCENT PARK, WARREN, PA 163652111 (Tel: 8147232510)

📍
Updated Business Mailing Address June 03, 2013

Registered at 2 W CRESCENT PARK, WARREN, PA 163652111 (Tel: 8147232510)

👤
Provider Name / Credentials Updated June 03, 2013

Recorded as KERRY BUSSOLETTI, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2013

Physician Assistant (License #MA054014 in PA)

🟢
Initial NPI Registration & Enumeration September 21, 2009

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: 1033443205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2009
Last Update: June 03, 2013
Sole Proprietor: No

Mailing Address

2 W Crescent Park

Warren, PA 163652111

Phone: 8147232510

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.