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WALTINA J KISNER MSN, APN
NPI 1225219009
Nurse Practitioner - Adult Health in Springfield, MO

Active since November 20, 2007PECOS Enrolled
3231 S NATIONAL AVE STE 440, SPRINGFIELD, MO 65807(417) 888-5660 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 18, 2022, Feb 4, 2019 (2 updates tracked since 2019).

About Waltina J Kisner Msn, Apn NPPES

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

WALTINA J KISNER MSN, APN (NPI 1225219009) is an individual adult health provider in Springfield, Missouri, licensed in Missouri (140376) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225219009
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameWALTINA J KISNERCredential: MSN, APN
Location Address3231 S NATIONAL AVE STE 440Springfield, MO 65807-7304
Mailing Address3231 S National Ave Ste 440Springfield, MO 65807-7304 · (417) 888-5660
Phone(417) 888-5660
Sole ProprietorNo
Enumeration DateNovember 20, 2007
Last NPPES UpdateApril 18, 20222 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
✔ NPI 1225219009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MO · 140376
3231 S NATIONAL AVE STE 440, Springfield, MO 65807
Open in Google Maps ↗

Other Identifiers 4

Medicaid1225219009MO
Other431560263MO · Tricare West
Medicaid183029758AR
OtherP00826746Railroad Mcr Cb9013

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Waltina J Kisner Msn, Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Waltina Kisner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Clinic Springfield Communities
Same address
Family Medicine
3231 S NATIONAL AVE STE 220
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 1,487 clinicians in this Medicare group
NPI 1245277631 (855) 420-7900

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
75 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
35 services31 patients
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.
34 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers22 claims40 services$6.42 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers17 claims17 services$1.13 avg. paid by Medicare
Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds K0821
DME-Wheelchairs · category DD009N
1 supplier14 claims14 services$133.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

KELSEY L. STORER PA
Physician Assistant
3231 S NATIONAL AVE STE 440
SPRINGFIELD, MO 65807
Greene County (417) 888-5660
JUBRAN AFZAL KHAN RIND MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3231 S NATIONAL AVE STE 440
SPRINGFIELD, MO 65807
Greene County (417) 888-5660

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 Waltina Kisner's NPI number?

The NPI number for Waltina Kisner is 1225219009. It was assigned to this individual provider in the NPPES registry on November 20, 2007.

Where is Waltina Kisner located?

Waltina Kisner practices at 3231 S National Ave Ste 440, Springfield, MO 65807. The listed phone number is (417) 888-5660.

What is Waltina Kisner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Waltina Kisner enrolled in Medicare?

Yes. Waltina Kisner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Waltina Kisner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Waltina Kisner reassigns Medicare benefits to Mercy Clinic Springfield Communities (Springfield, MO). 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 Waltina Kisner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Waltina Kisner was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.