CHASE ALAN KISSLING (MD) – Anesthesiology Physician, NPI 1063707784

CHASE ALAN KISSLING (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. A173328 (CA). The NPI Number for CHASE ALAN KISSLING (MD) is 1063707784

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
CHASE ALAN KISSLING (MD)
NPI
1063707784
Phone
(202) 762-3194
Address
ATTN: DMHRSI TEAM BLDG H 2005 KNIGHT LANE
Enumeration Date
10 June 2011
Last Update Date
18 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9313857100
Graduation Year
2011 (15 years ago)
PAC ID
9931594363
Group Practice PAC ID
7719883461
Professional Enrollment ID
I20220321002092
Address ID
CA939303432KI210XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,343 ANESTHESIOLOGY in FL

Provider Addresses for CHASE ALAN KISSLING (MD)

  • ATTN: DMHRSI TEAM BLDG H 2005 KNIGHT LANE

    NAVY MEDICINE SUPPORT COMMAND

    JACKSONVILLE, FL 322120140

    Phone: (202) 762-3194

    Type: Location

  • 3585 REDWOOD ST

    SAN DIEGO, CA 921044847

    Phone: (817) 454-3110

    Type: Mailing

  • 1010 CASS ST

    MONTEREY, CA 939404515

    Phone: (831) 275-4050

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $2,769.

Total Amount is formed as General ($2,769) + Research ($0) + Ownership ($0) = $2,769.

Last reported payment date: 2024-11-16 • Largest payer in this snapshot: Saluda Medical Americas, Inc. ($971).

Total Amount

$2,769

General + Research + Ownership

Payments

29

Total payment records

General Amount

$2,769

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-03-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220321002092IAnesthesiologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 32212)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719883461View full group profile
NameSpecialtyState
P O D I A T R YCA
General SurgeryCA
G A S T R O E N T E R O L O G YFL
General SurgeryCA
A N E S T H E S I O L O G YCA
-KY
A N E S T H E S I O L O G YCO
Cardiovascular Disease (Cardiology)CA
A N E S T H E S I O L O G YCA
-CA

Reviews

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Frequently asked questions

What is the 10-digit NPI for CHASE ALAN KISSLING (MD)?
CHASE ALAN KISSLING (MD) — NPI 1063707784 — is the standard way to identify this listing.
Does the file indicate CHASE ALAN KISSLING (MD) is practicing under active NPI?
Directory data currently reports CHASE ALAN KISSLING (MD) as active.
What is CHASE ALAN KISSLING (MD)'s specialty?
The listing groups CHASE ALAN KISSLING (MD) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where is CHASE ALAN KISSLING (MD) based?
CHASE ALAN KISSLING (MD) is tied to Jacksonville, Florida in the data we show; additional addresses may exist on the full record.
Why does CHASE ALAN KISSLING (MD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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