SPENCER KISSEL – Psychiatric/Mental Health Nurse Practitioner, NPI 1013499029

SPENCER KISSEL is a healthcare provider. based in Davenport, Iowa. specializing in NURSE PRACTITIONER. They hold a License No. APRN88700-PMHNP-BC (WV). The NPI Number for SPENCER KISSEL is 1013499029

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
SPENCER KISSEL
NPI
1013499029
Phone
(563) 421-1785
Address
1401 W CENTRAL PARK AVE
Enumeration Date
6 September 2018
Last Update Date
19 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
4880948140
Group Practice PAC ID
6103829338
Professional Enrollment ID
I20200218001918
Address ID
IA528072904DA4700XSTXX400

Contacts

Secure Messaging
spencer.kissel@direct.genesishealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for SPENCER KISSEL

  • 1401 W CENTRAL PARK AVE

    DAVENPORT, IA 528041707

    Phone: (563) 421-1785

    Type: Mailing

  • 1284, SR 160, Hanersville, Gallipolis, Gallipolis Township, Gallia County, Ohio, 45631, United States

    GALLIPOLIS, OH 456318106

    Phone: (912) 409-8533

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 116 Open Payments records for all available years, with a total value of $1,862.

Total Amount is formed as General ($1,862) + Research ($0) + Ownership ($0) = $1,862.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($407).

Total Amount

$1,862

General + Research + Ownership

Payments

116

Total payment records

General Amount

$1,862

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2020-02-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200218001918INurse PractitionerIATBD

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 minutes27573$0
Q3014Telehealth originating site facility fee9337$0
99215Established patient office or other outpatient visit, 40-54 minutes5850$0
View full utilization report →

Insurance plans in this area (ZIP 52804)

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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: 6103829338View full group profile

Reviews

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Frequently asked questions

How do payers reference SPENCER KISSEL?
For SPENCER KISSEL, use NPI 1013499029 as the unique 10-digit identifier.
Would SPENCER KISSEL appear as active to a payer?
You can treat SPENCER KISSEL as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with SPENCER KISSEL?
SPENCER KISSEL's record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SPENCER KISSEL?
Travel planning: use Davenport, Iowa as the reference point for SPENCER KISSEL, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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