DR. JENNY KISNER (O.D.) – Optometrist, NPI 1225016413

DR. JENNY KISNER (O.D.) is a healthcare provider. based in Wichita falls, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 6311TG (TX). The NPI Number for DR. JENNY KISNER (O.D.) is 1225016413

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNY KISNER (O.D.)
NPI
1225016413
Phone
(940) 761-2317
Address
1508 BROOK AVE
Enumeration Date
6 January 2006
Last Update Date
25 March 2025

Doctor Profile

Medical School Name
INTERNATIONAL AMERICAN UNIVERSITY AT PUERTO RICO - SCHOOL OF OPTOMETRY
Secondary Phone
9407663551
Graduation Year
2002 (24 years ago)
PAC ID
9830276534
Group Practice PAC ID
8820993496
Professional Enrollment ID
I20090513000215
Address ID
TX763022302WI501XXEXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

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Provider Addresses for DR. JENNY KISNER (O.D.)

  • 1508, Brook Avenue, Wichita Falls, Wichita County, Texas, 76301, United States

    WICHITA FALLS, TX 763015604

    Phone: (940) 761-2317

    Fax: (940) 761-2992

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $693.

Total Amount is formed as General ($693) + Research ($0) + Ownership ($0) = $693.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($232).

Total Amount

$693

General + Research + Ownership

Payments

11

Total payment records

General Amount

$693

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2009-05-13

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
I20090513000215IOptometryTXTBD

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
92014Established patient complete exam of visual system1,1191,089$0
92012Established patient problem focused exam of visual system916589$0
92250Photography of the retina415402$0
92134Imaging of retina414394$0
92133Imaging of optic nerve327315$0
View full utilization report →

Insurance plans in this area (ZIP 76301)

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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: 8820993496View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMO
O P T O M E T R YTX
Nurse PractitionerTX
P O D I A T R YTX
Family PracticeTX
-TX
Family PracticeTX
Internal MedicineTX
N E U R O L O G YTX
-TX

Reviews

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Frequently asked questions

What is DR. JENNY KISNER (O.D.)'s NPI number?
DR. JENNY KISNER (O.D.)'s NPI is 1225016413 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. JENNY KISNER (O.D.)?
For scheduling context, DR. JENNY KISNER (O.D.) is shown as active in the registry.
What area of care is associated with DR. JENNY KISNER (O.D.)?
DR. JENNY KISNER (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. JENNY KISNER (O.D.) associated with Wichita Falls?
Public fields place DR. JENNY KISNER (O.D.) around Wichita Falls, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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