ZACHARY KISLEY DO
NPI 1629606298
Internal Medicine - Nephrology in Saint Louis, MO
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
Specialties & Licenses
Accepted Insurance
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Zachary Kisley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63128
- Reassigned Medicare billing, Missouri enrollment
- 9 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.
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, MOSsm Health St Mary's Hospital - St Louis
Acute Care Hospitals · Richmond Heights, MOSsm Health Depaul Hospital St Louis
Acute Care Hospitals · Bridgeton, MOChristian Hospital Northeast
Acute Care Hospitals · Saint Louis, MOPhysician 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.
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.
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.
Which organization bills Medicare for Zachary Kisley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Kisley reassigns Medicare benefits to Nhs South LLC (Saint Louis, 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 Zachary Kisley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Zachary Kisley accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 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 14 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.
# Zachary Kisley, DO · NPI 1629606298
Nephrology physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since March 30, 2020.
## Identity
- **NPI:** 1629606298 (Entity type: Individual)
- **Enumerated:** March 30, 2020
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 2025035191 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 10004 KENNERLY RD STE 374B, Saint Louis, MO 63128-2178
- **Phone:** (314) 842-9669 · **Fax:** (314) 842-1017
## 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:** Nhs South LLC (NPI 1376166066, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Midwestern University, Chicago College Of Osteopathic Med, class of 2020
## Record status
- **NPPES last updated:** August 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629606298) · Data from the CMS NPPES public registry.