JARRETT R KIESEL (PA) – Surgical Physician Assistant, NPI 1831173418

JARRETT R KIESEL (PA) is a healthcare provider. based in Gainesville, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 003961 (GA). The NPI Number for JARRETT R KIESEL (PA) is 1831173418

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
JARRETT R KIESEL (PA)
NPI
1831173418
Phone
(770) 219-6520
Address
601 S ENOTA DR NE
Enumeration Date
6 December 2005
Last Update Date
29 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702196000
Graduation Year
2002 (24 years ago)
PAC ID
4587724851
Group Practice PAC ID
6901898386
Professional Enrollment ID
I20081117000133
Address ID
GA305175600BR1400XPLXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for JARRETT R KIESEL (PA)

  • South Enota Drive Northeast, Gainesville, Hall County, Georgia, 30501, United States

    SUITE Q

    GAINESVILLE, GA 305012400

    Phone: (770) 219-6520

    Fax: (770) 219-6521

    Type: Mailing

  • Jesse Jewell Parkway Northeast, Gainesville, Hall County, Georgia, 30501, United States

    GAINESVILLE, GA 305013822

    Phone: (770) 219-6520

    Fax: (770) 219-6521

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $163.

Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.

Last reported payment date: 2023-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($36).

Total Amount

$163

General + Research + Ownership

Payments

7

Total payment records

General Amount

$163

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-19

Latest reported date

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: 2008-11-17

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
I20081117000133IPhysician AssistantGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9787$0
99204New patient office or other outpatient visit, 45-59 minutes5656$0
72110X-ray of lower and sacral spine, minimum of 4 views2626$0
99213Established patient office or other outpatient visit, 20-29 minutes1716$0
72100X-ray of lower and sacral spine, 2-3 views1311$0
View full utilization report →

Insurance plans in this area (ZIP 30501)

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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: 6901898386View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
-GA
-GA
A N E S T H E S I O L O G YGA
-GA
-GA
Physician AssistantGA
Nurse PractitionerGA
Surgical Oncology, General SurgeryNJ
Pulmonary DiseaseNY

Reviews

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Frequently asked questions

Is there an official ID for JARRETT R KIESEL (PA) in U.S. healthcare records?
The official identifier for JARRETT R KIESEL (PA) is NPI 1831173418.
Active or inactive — what applies to JARRETT R KIESEL (PA)?
You should see JARRETT R KIESEL (PA) as active in CMS-hosted NPPES data.
What clinical focus is listed for JARRETT R KIESEL (PA)?
At a glance, JARRETT R KIESEL (PA) is tied to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is JARRETT R KIESEL (PA) located near Gainesville?
JARRETT R KIESEL (PA) currently maps to Gainesville, Georgia in this extract.
Does JARRETT R KIESEL (PA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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