DR. QUEENTER KISANG (MD) – Family Medicine Physician, NPI 1033773627
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,661 FAMILY PRACTICE in CO
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Provider Addresses for DR. QUEENTER KISANG (MD)
902, Lakeview Avenue, Pueblo, Pueblo County, Colorado, 81004, United States
PUEBLO, CO 810043597
Phone:
Type: Mailing
PO BOX 9000
PUEBLO, CO 810089000
Phone: (719) 553-1804
Type: Mailing
3676 PARKER BLVD
PUEBLO, CO 810082212
Phone: (719) 553-1804
Fax: (833) 916-2047
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $452.
Total Amount is formed as General ($452) + Research ($0) + Ownership ($0) = $452.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($72).
Total Amount
$452
General + Research + Ownership
Payments
25
Total payment records
General Amount
$452
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-12-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231218002419 | I | Family Practice | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 81004)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| - | CO | |
| - | KS | |
| Family Practice | CO | |
| Nurse Practitioner | CO | |
| - | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Physical Medicine And Rehabilitation, Sports Medicine | CO | |
| Nurse Practitioner | CO |
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