KENNETH LINDSEY KISER (APRN) – Primary Care Nurse Practitioner, NPI 1609230069
Primary Care Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
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Provider Addresses for KENNETH LINDSEY KISER (APRN)
5470 SERENDIPITY TRL
HAHIRA, GA 316323465
Phone: (229) 415-5175
Type: Mailing
2209, Pineview Drive, Lakeland Forest, Valdosta, Lowndes County, Georgia, 31602, United States
VALDOSTA, GA 316027316
Phone: (229) 247-4357
Type: Location
2922 N OAK ST STE C
VALDOSTA, GA 316021885
Phone: (229) 262-6819
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $281.
Total Amount is formed as General ($281) + Research ($0) + Ownership ($0) = $281.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Lilly USA, LLC ($66).
Total Amount
$281
General + Research + Ownership
Payments
15
Total payment records
General Amount
$281
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $66 |
| Amgen Inc. | $63 |
| Bayer Healthcare Pharmaceuticals Inc. | $47 |
| PFIZER INC. | $25 |
| Abbott Laboratories | $24 |
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: 2017-01-18
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 |
|---|---|---|---|---|
| I20170118000482 | I | Nurse Practitioner | GA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 140 | 91 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 133 | 53 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 46 | 39 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 44 | 37 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 34 | 14 | $0 |
Insurance plans in this area (ZIP 31632)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Nurse Midwife (Cnm) | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Internal Medicine | GA | |
| Internal Medicine | GA | |
| Gastroenterology, Internal Medicine | GA |
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