Kelly Sisson, AGACNP
NPI 1225604093 · Acute Care Nurse Practitioner · Lawrenceville, GA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Sisson, AGACNP is a Acute Care Nurse Practitioner provider in Lawrenceville, GA (NPI 1225604093).
Provider details
- NPI number
- 1225604093
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP
- Sex
- Female
- Sole proprietor
- No
- License
- RN191117 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
5 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
700 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 300 | $65 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 247 | $98 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 91 | $109 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 41 | $144 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 21 | $95 |
Typical Medicare-allowed amounts for these services range $65–$144 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Apixabanbrand: Eliquis | 51 | 11 |
| Atorvastatin Calcium | 38 | 15 |
| Prasugrel Hcl | 38 | — |
| Ticagrelorbrand: Brilinta | 36 | — |
| Metoprolol Succinate | 27 | 15 |
| Carvedilol | 25 | 12 |
| Losartan Potassium | 20 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$421 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-06-02
- Last updated
- 2021-06-02
- Certified
- 2021-06-02
Frequently asked questions
- What is Kelly Sisson's NPI number?
- Kelly Sisson's National Provider Identifier (NPI) is 1225604093, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Sisson's specialty?
- Kelly Sisson is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Sisson located?
- Kelly Sisson's practice location on file with NPPES is 575 Professional Dr Ste 400, Lawrenceville, GA 30046-3335.
- What is Kelly Sisson's phone number?
- The practice phone number listed in the NPPES registry for Kelly Sisson is (404) 962-6000.
- Does Kelly Sisson accept Medicare?
- Kelly Sisson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Sisson's NPI active?
- Yes — Kelly Sisson's NPI (1225604093) is active in the NPPES registry as of the last update on 2021-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.