JESSE LEAH KESON (FNP) – Family Nurse Practitioner, NPI 1053874792

JESSE LEAH KESON (FNP) is a healthcare provider. based in Manistee, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 4704292299 (MI). The NPI Number for JESSE LEAH KESON (FNP) is 1053874792

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JESSE LEAH KESON (FNP)
NPI
1053874792
Phone
(231) 690-6235
Address
11279 QUARTERLINE RD
Enumeration Date
10 April 2019
Last Update Date
10 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2318767200
Graduation Year
2019 (7 years ago)
PAC ID
7517292931
Group Practice PAC ID
4082069232
Professional Enrollment ID
I20190708002093
Address ID
MI496012331CA400XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for JESSE LEAH KESON (FNP)

  • 11279 QUARTERLINE RD

    MANISTEE, MI 49660

    Phone: (231) 690-6235

    Type: Mailing

  • Munson Healthcare Manistee Hospital, 1465, East Parkdale Avenue, Parkdale, Manistee Township, Manistee County, Michigan, 49660, United States

    MANISTEE, MI 496609709

    Phone: (231) 398-1000

    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: 2019-07-08

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
I20190708002093INurse PractitionerMITBD

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
99284Emergency department visit with moderate level of medical decision making7771$0
99285Emergency department visit with high level of medical decision making5552$0
99283Emergency department visit with low level of medical decision making2222$0
View full utilization report →

Insurance plans in this area (ZIP 49660)

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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: 4082069232View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI

Reviews

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Frequently asked questions

Can I verify JESSE LEAH KESON (FNP) with an NPI only?
You can start verification with NPI 1053874792 for JESSE LEAH KESON (FNP), then check state licensing separately.
Is JESSE LEAH KESON (FNP) listed as active for patients and plans?
The listing shows JESSE LEAH KESON (FNP) as active in the NPI system.
What taxonomy line describes JESSE LEAH KESON (FNP)?
For research purposes, treat JESSE LEAH KESON (FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does JESSE LEAH KESON (FNP) list a practice location?
Patients near Manistee, Michigan may find JESSE LEAH KESON (FNP) in results; validate coverage separately.
Why does JESSE LEAH KESON (FNP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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