DR. NATHAN JOSEPH KESSLER (DO) – Student in an Organized Health Care Education/Training Program, NPI 1033612874
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
86 PEDIATRIC MEDICINE in HI
Provider Addresses for DR. NATHAN JOSEPH KESSLER (DO)
4643 Waimea Canyon Drive
Waimea, HI 96796
Phone: (206) 434-2920
Type: Location
PO BOX 73720
FAIRBANKS, AK 997073720
Phone: (907) 458-4546
Fax: (907) 458-5241
Type: Mailing
1650 COWLES ST
FAIRBANKS, AK 997015907
Phone: (907) 374-4546
Fax: (907) 458-5241
Type: Location
University of New Mexico Hospital, 2211, Lomas Boulevard Northeast, Nob Hill, Albuquerque, Bernalillo County, New Mexico, 87106, United States
ALBUQUERQUE, NM 871062719
Phone: (505) 272-2111
Type: Mailing
PO BOX 337
WAIMEA, HI 967960337
Phone: (083) 338-9431
Type: Mailing
4643 WAIMEA CANYON DRIVE
WAIMEA, HI 96796
Phone: (206) 434-2920
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20230925002218 | I | Pediatric Medicine | HI | TBD |
| I20250820001311 | I | Pediatric Medicine | AK | TBD |
| I20251104001248 | I | Pediatric Medicine | GU | 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 96796)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | HI | |
| General Surgery | AZ | |
| Internal Medicine | HI | |
| Diagnostic Radiology | OR | |
| Physician Assistant | CA | |
| Nurse Practitioner | HI | |
| P O D I A T R Y | OK | |
| Nurse Practitioner | OH | |
| Internal Medicine, Gastroenterology | WA | |
| General Surgery | CA |
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