Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Suzzane Roena Pistole, PA-C

Individual provider Physician Assistant · NPI 1255527495

Suzzane Roena Pistole, PA-C is a Physician Assistant in Pickerington, Ohio. Qualified in 2007, 19 years ago. Practices with Capitol Pain Institute PA, a 44-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
19
Licensed in
OH
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1509 Stonecreek Dr S
Pickerington, OH 43147-9836
Phone: (740) 653-2500
Fax: (740) 653-2552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.002818 (OH)

Record details

NPI number1255527495
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 21, 2007
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Capitol Pain Institute Pa — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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