Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lauren Michelle Kissock, PA-S

Individual provider Surgical Physician Assistant · NPI 1558994459

Lauren Michelle Kissock, PA-S is a Physician Assistant in Austin, Texas. Graduated from Pacific Medical College in 2020, 6 years ago. Practices with Cardiothoracic and Vascular Surgeons, PA, a 34-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Trained at
Pacific Medical College
Licensed in
TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1010 W 40th St
Austin, TX 78756-4010
Phone: (512) 459-8753
Fax: (512) 483-6807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA14137 (TX)
Physician Assistant Taxonomy 363A00000X · Licence PA14137 (TX)

Record details

NPI number1558994459
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-S
Sole proprietorNo
NPI enumeratedFebruary 19, 2020
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPACIFIC MEDICAL COLLEGE
Graduated 2020 (6 years in practice)
Group practice Cardiothoracic And Vascular Surgeons,Pa — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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