ANN KIESAU MD PLLC
NPI 1104381896
Anesthesiology in Bellingham, WA
About Ann Kiesau Md Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANN KIESAU MD PLLC (NPI 1104381896) is a healthcare organization registered as an anesthesiology in Bellingham, Washington and active in the NPI registry since February 2019. The organization lists Ann I Kiesau, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ann Kiesau Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ann Kiesau MD PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ann Kiesau MD PLLC's NPI number?
The NPI number for Ann Kiesau MD PLLC is 1104381896. It was assigned to this organization in the NPPES registry on February 6, 2019.
Where is Ann Kiesau MD PLLC located?
Ann Kiesau MD PLLC is located at 3009 Squalicum Pkwy, Bellingham, WA 98225. The listed phone number is (360) 788-7740.
What is Ann Kiesau MD PLLC's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Ann Kiesau MD PLLC enrolled in Medicare?
Yes. Ann Kiesau MD PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ann Kiesau MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Ann Kiesau MD PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ann Kiesau MD PLLC was last updated on February 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Ann Kiesau Md Pllc · NPI 1104381896
Anesthesiology organization in Bellingham, Washington. Organization record, active in the CMS NPPES registry since February 6, 2019.
## Identity
- **NPI:** 1104381896 (Entity type: Organization)
- **Enumerated:** February 6, 2019
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **Organization subpart:** No
- **Authorized official:** Ann Kiesau, OWNER
## Practice location
- **Address:** 3009 SQUALICUM PKWY, Bellingham, WA 98225-1939
- **Phone:** (360) 788-7740
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Anesthesiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1104381896) · Data from the CMS NPPES public registry.