ABIGAIL KIESOW MD
NPI 1295329159
Anesthesiology in Eglin Afb, FL
About Abigail Kiesow Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABIGAIL KIESOW MD (NPI 1295329159) is an individual anesthesiology provider in Eglin Afb, Florida, licensed in Florida (ME177661) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Walton Beach, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Abigail Kiesow 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.
Medicare Billing Reassignments
5Medicare enrollment records show Abigail Kiesow reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Walton Beach, FL 32547
- Reassigned Medicare billing, Florida enrollment
- 528 clinicians in this Medicare group
Destin, FL 32541
- Reassigned Medicare billing, Florida enrollment
- 38 clinicians in this Medicare group
Orange Park, FL 32003
- Reassigned Medicare billing, Florida enrollment
- 876 clinicians in this Medicare group
Bradenton, FL 34208
- Reassigned Medicare billing, Florida enrollment
- 1,887 clinicians in this Medicare group
Naples, FL 34119
- Reassigned Medicare billing, Florida enrollment
- 767 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
EGLIN AFB, FL 32542
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 Abigail Kiesow's NPI number?
The NPI number for Abigail Kiesow is 1295329159. It was assigned to this individual provider in the NPPES registry on February 22, 2021. The provider is also known as Abigail Petersen MD.
Where is Abigail Kiesow located?
Abigail Kiesow practices at 307 Boatner Rd Ste 114, Eglin Afb, FL 32542. The listed phone number is (850) 883-8600.
What is Abigail Kiesow's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Abigail Kiesow enrolled in Medicare?
Yes. Abigail Kiesow 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 organizations bill Medicare for Abigail Kiesow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abigail Kiesow reassigns Medicare benefits to 5 organizations: Anesthesia Physician Solutions Of North Florida, LLC (Fort Walton Beach, FL), Destin Anesthesia, LLC (Destin, FL), Fleming Island Anesthesia LLC (Orange Park, FL), Anesthesia Dynamics LLC (Bradenton, FL) and Capital Anesthesia Solutions Of Florida II, LLC (Naples, FL). Each 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 Abigail Kiesow'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 Abigail Kiesow was last updated on February 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Abigail Kiesow, MD · NPI 1295329159
Anesthesiology physician in Eglin Afb, Florida. Individual provider, active in the CMS NPPES registry since February 22, 2021.
## Identity
- **NPI:** 1295329159 (Entity type: Individual)
- **Enumerated:** February 22, 2021
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** ME177661 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 307 BOATNER RD STE 114, Eglin Afb, FL 32542-1302
- **Phone:** (850) 883-8600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Anesthesia Physician Solutions Of North Florida, LLC (NPI 1013423896, Fort Walton Beach, FL); Destin Anesthesia, LLC (NPI 1891726394, Destin, FL); Fleming Island Anesthesia LLC (NPI 1487945895, Orange Park, FL); Anesthesia Dynamics LLC (NPI 1073001012, Bradenton, FL); Capital Anesthesia Solutions Of Florida II, LLC (NPI 1891318481, Naples, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1295329159) · Data from the CMS NPPES public registry.