Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Leese Miserendino, PAC

Individual provider Medical Physician Assistant · NPI 1417351958

Kelly Leese Miserendino, PAC is a Physician Assistant in York, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group, works from 11 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania and Virginia.

Years since qualifying
12
Licensed in
PA, VA
In the registry since
2014
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

228 Saint Charles Way Ste 300
York, PA 17402-4661
Phone: (717) 812-5400
Fax: (717) 741-3598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (10)

  • 9 Nathan Ln, Annville, PA 17003-6500 — (717) 639-3350
  • 446 N Reading Rd, Ephrata, PA 17522-9802 — (717) 738-5275
  • 455 S Washington St Ste 12, Gettysburg, PA 17325-2516 — (717) 339-2875
  • 100 Eisenhower Dr Ste 360, Hanover, PA 17331-5241 — (717) 646-4201
  • 101 W Airport Rd, Lititz, PA 17543-9274 — (717) 466-2445
  • 4050 N George Street Ext, Manchester, PA 17345-9347 — (717) 356-4370
  • 96 Sofia Dr Ste 208, Shrewsbury, PA 17361-5201 — (717) 812-2400
  • 2250 E Market St, York, PA 17402-2857 — (717) 851-1566
  • 2149 S Queen St, York, PA 17403-4845 — (717) 356-4460
  • 717 Town Center Dr, York, PA 17408-4824 — (717) 356-4240

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA057146 (PA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 0110006374 (VA)

Record details

NPI number1417351958
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 13, 2014
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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