DENNIS KIESEL (P.A.-C) – Surgical Physician Assistant, NPI 1154326676

DENNIS KIESEL (P.A.-C) is a healthcare provider. based in Duluth, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. 9794 (MN). The NPI Number for DENNIS KIESEL (P.A.-C) is 1154326676

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DENNIS KIESEL (P.A.-C)
NPI
1154326676
Phone
(775) 786-3040
Address
1000 E 1ST ST
Enumeration Date
21 June 2005
Last Update Date
13 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2187225513
Graduation Year
2002 (24 years ago)
PAC ID
0648311100
Group Practice PAC ID
1951294065
Professional Enrollment ID
I20100105000802
Address ID
MN557923068VI1405XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

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Provider Addresses for DENNIS KIESEL (P.A.-C)

  • East 1st Street, Duluth, Saint Louis County, Minnesota, 55804, United States

    STE 404

    DULUTH, MN 558052297

    Phone: (775) 786-3040

    Fax: (775) 786-1386

    Type: Mailing

  • Reno Orthopedic Clinic, 555, North Arlington Avenue, Reno, Washoe County, Nevada, 89503, United States

    RENO, NV 895034723

    Phone: (775) 786-3040

    Fax: (775) 786-1386

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Stryker Corporation ($71).

Total Amount

$122

General + Research + Ownership

Payments

2

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

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: 2016-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100105000802IPhysician AssistantMNTBD
I20161220000416IPhysician AssistantWITBD

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
73630X-ray of foot, minimum of 3 views1211$0
View full utilization report →

Insurance plans in this area (ZIP 55805)

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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: 1951294065View full group profile
NameSpecialtyState
P O D I A T R YMN
Physician AssistantOR
-MN
Physical Therapist In Private PracticeMN
Orthopedic SurgeryMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
Orthopedic SurgeryMN

Reviews

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Frequently asked questions

Can I verify DENNIS KIESEL (P.A.-C) with an NPI only?
You can start verification with NPI 1154326676 for DENNIS KIESEL (P.A.-C), then check state licensing separately.
Can I rely on DENNIS KIESEL (P.A.-C) being an active provider?
As of the registry snapshot, DENNIS KIESEL (P.A.-C) is marked active.
What taxonomy line describes DENNIS KIESEL (P.A.-C)?
For research purposes, treat DENNIS KIESEL (P.A.-C) as Surgical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does DENNIS KIESEL (P.A.-C) serve?
DENNIS KIESEL (P.A.-C)'s listing highlights Duluth, Minnesota; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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