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ABIGAIL KIESOW MD
NPI 1295329159
Anesthesiology in Eglin Afb, FL

Active since February 22, 2021PECOS EnrolledAccepts Medicare Assignment
307 BOATNER RD STE 114, EGLIN AFB, FL 32542(850) 883-8600 Get Directions Write a Review

NPPES record last updated: February 22, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 17, 2025, Jun 29, 2021, Mar 10, 2021 and 1 more (4 updates tracked since 2021).

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

NPI1295329159
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameABIGAIL KIESOWCredential: MD
Location Address307 BOATNER RD STE 114Eglin Afb, FL 32542-1302
Mailing Address307 Boatner Rd Ste 114Eglin Afb, FL 32542-1302 · (850) 883-8600
Phone(850) 883-8600
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 22, 2021
Last NPPES UpdateFebruary 22, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2026
✔ NPI 1295329159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in FL · ME177661
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
307 BOATNER RD STE 114, Eglin Afb, FL 32542
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Other Names 1

Former Name (1)Abigail Petersen Md

Secondary Practice Location 1

Location 11000 Mar Walt DrFort Walton Beach, FL 32547-6708 · Phone (850) 862-1111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID5294226445
PECOS Enrollment IDI20251114003140
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.

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.

LUCAS RYAN PETKEWITZ DPT
Physical Therapist
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8600
DR. JAMES SAXTON
Anesthesiology
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-9394
BODEN JAMES PORT DO
General Practice
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8600
HEATHER DAWN BROCK
Nurse Practitioner (Family)
307 BOATNER RD STE 114
EGLIN, FL 32542
Okaloosa County (850) 883-9042
DR. ANDREW KEITH MATTHIES D.O.
Anesthesiology
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-9394
ANJELI KRISTEN NAYAR POPE M.D.
Internal Medicine
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-9906
DR. ERIC MICHAEL WEISS MD
General Practice
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8600
CAMRON BOWMAN DO
Military Health Care Provider
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8288

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.

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 6 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.