WALTINA J KISNER MSN APN NPI 1225219009

NPI Information

NPI: 1225219009
Provider Name: WALTINA J KISNER, MSN, APN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: BARNES HEALTH CARE MANAGEMENT GROUP LLC

PECOS Registration: Yes

Address:
1229 E SEMINOLE ST STE 320
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 820-2064
Get Directions

Waltina J Kisner, MSN, APN is an adult health nurse practitioner in Springfield, MO with 20 years of experience. Waltina J Kisner, MSN, APN NPI is 1225219009. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1229 E SEMINOLE ST STE 320
SPRINGFIELD, MO
ZIP 65804-227
Phone: (417) 820-2064

The NPI 1225219009 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/20/2007 and was last updated on 2/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	140376	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1225219009	MEDICAID	MISSOURI
2	183029758	MEDICAID	ARKANSAS
3	431560263	OTHER	MISSOURI	TRICARE WEST
4	P00826746	OTHER		RAILROAD MCR CB9013

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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