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DR. QUEENTER KISANG MD
NPI 1033773627
Family Medicine in Pueblo, CO

Active since April 29, 2019PECOS EnrolledAccepts Medicare Assignment
3676 PARKER BLVD, PUEBLO, CO 81008(719) 553-1804(833) 916-2047 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 1, 2023, May 28, 2019, Apr 29, 2019 (3 updates tracked since 2019).

About Dr. Queenter Kisang Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. QUEENTER KISANG MD (NPI 1033773627) is an individual family medicine provider in Pueblo, Colorado, licensed in Colorado (DR.006687) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1033773627
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. QUEENTER KISANGCredential: MD
Location Address3676 PARKER BLVDPueblo, CO 81008-2212
Mailing AddressPo Box 9000Pueblo, CO 81008-9000 · (719) 553-1804
Phone(719) 553-1804
Fax(833) 916-2047
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 29, 2019
Last NPPES UpdateMay 20, 20243 updates tracked since enumeration
NPPES CertifiedMay 20, 2024
✔ NPI 1033773627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · DR.006687
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3676 PARKER BLVD, Pueblo, CO 81008
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Queenter Kisang Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335473578
PECOS Enrollment IDI20231218002419
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Queenter Kisang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Colorado Clinic PC
Same address
Clinic/Center
3676 PARKER BLVD
Pueblo, CO 81008
  • Reassigned Medicare billing, Colorado enrollment
  • 49 clinicians in this Medicare group
NPI 1285613554 (719) 553-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
91 services44 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
47 services32 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services19 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
24 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. RITA ANN ELLSWORTH MD
Pediatrics
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-2200
MS. MARSHA R FLOWERS OTC
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-2206
HAVILAH R. SPURLOCK FNP-C
Nurse Practitioner (Family)
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-2200
JENNIFER LIVINGSTON
Nurse Practitioner (Family)
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-2200
MISS CARLA RAE PROCTOR M.D.
Pediatrics
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-2204
MR. RYAN SCOTT ESLINGER OTC
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-2200
UROLOGY OF SOUTHERN COLORADO PLLC
Clinic/Center (Medical Specialty)
3676 PARKER BLVD, SUITE 310
PUEBLO, CO 81008
Pueblo County (719) 545-1500
MS. RACHEL ELIZABETH WHITTEN MSN, APRN, FNP
Nurse Practitioner (Family)
3676 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 553-2200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Queenter Kisang's NPI number?

The NPI number for Queenter Kisang is 1033773627. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Where is Queenter Kisang located?

Queenter Kisang practices at 3676 Parker Blvd, Pueblo, CO 81008. The listed phone number is (719) 553-1804.

What is Queenter Kisang's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Queenter Kisang enrolled in Medicare?

Yes. Queenter Kisang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Queenter Kisang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Queenter Kisang reassigns Medicare benefits to Southern Colorado Clinic PC (Pueblo, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Queenter Kisang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Queenter Kisang accept?

Health plans from Oscar Insurance Company and Select Health list Queenter Kisang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Queenter Kisang was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.