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ZACHARY KISLEY DO
NPI 1629606298
Internal Medicine - Nephrology in Saint Louis, MO

Active since March 30, 2020PECOS EnrolledAccepts Medicare Assignment
10004 KENNERLY RD STE 374B, SAINT LOUIS, MO 63128(314) 842-9669(314) 842-1017 Get Directions Write a Review

NPPES record last updated: August 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Zachary Kisley Do NPPES

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

ZACHARY KISLEY DO (NPI 1629606298) is an individual nephrology provider in Saint Louis, Missouri, licensed in Missouri (2025035191) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital South, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2020).

NPPES Registry Identity

NPI1629606298
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameZACHARY KISLEYCredential: DO
Location Address10004 KENNERLY RD STE 374BSaint Louis, MO 63128-2178
Mailing AddressPo Box 802841Kansas City, MO 64180-2841 · (314) 842-9669 · Fax (314) 842-1017
Phone(314) 842-9669
Fax(314) 842-1017
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2020
Enumeration DateMarch 30, 2020
Last NPPES UpdateAugust 24, 2025
NPPES CertifiedAugust 24, 2025
✔ NPI 1629606298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MO · 2025035191
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
10004 KENNERLY RD STE 374B, Saint Louis, MO 63128
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Zachary Kisley Do 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 ID446674394
PECOS Enrollment IDI20250829002478
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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 5

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

ALANTE M JONES FNP
Nurse Practitioner (Family)
10004 KENNERLY RD STE 374B
SAINT LOUIS, MO 63128
St. Louis County (314) 842-9669
ANTIONETTE JORDAN
Nurse Practitioner
10004 KENNERLY RD STE 374B
SAINT LOUIS, MO 63128
St. Louis County (314) 842-9669
LEKESHIA SMITH FNP
Nurse Practitioner (Family)
10004 KENNERLY RD STE 374B
SAINT LOUIS, MO 63128
St. Louis County (314) 842-9669
NHS SOUTH LLC
Internal Medicine (Nephrology)
10004 KENNERLY RD STE 374B
SAINT LOUIS, MO 63128
St. Louis County (314) 842-9669
JENNA MATTHEWS
Nurse Practitioner (Gerontology)
10004 KENNERLY RD STE 374B
SAINT LOUIS, MO 63128
St. Louis County (314) 842-9669

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 Zachary Kisley's NPI number?

The NPI number for Zachary Kisley is 1629606298. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Zachary Kisley located?

Zachary Kisley practices at 10004 Kennerly Rd Ste 374B, Saint Louis, MO 63128. The listed phone number is (314) 842-9669.

What is Zachary Kisley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Zachary Kisley enrolled in Medicare?

Yes. Zachary Kisley 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.

What insurance does Zachary Kisley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Zachary Kisley 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.

Is Zachary Kisley affiliated with any hospitals?

According to CMS data, Zachary Kisley is affiliated with Mercy Hospital South, Ssm Health St Mary's Hospital - St Louis, Ssm Health Depaul Hospital St Louis and Christian Hospital Northeast.

When was this NPI record last updated?

The NPPES record for Zachary Kisley was last updated on August 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.