JENNIFER SHAY KISER PAC
NPI 1699745885
Physician Assistant - Medical in Phoenix, AZ

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
4611 E SHEA BLVD STE 190, PHOENIX, AZ 85028(480) 889-0180(480) 889-0186 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Shay Kiser Pac NPPES

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

JENNIFER SHAY KISER PAC (NPI 1699745885) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (2667) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1699745885
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER SHAY KISERCredential: PAC
Location Address4611 E SHEA BLVD STE 190Phoenix, AZ 85028-4259
Mailing Address4611 E Shea Blvd, Bldg 3 Suite 170Phoenix, AZ 85028-4254 · (480) 889-0180 · Fax (480) 889-0186
Fax(480) 889-0186
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 23, 2006
Last NPPES UpdateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
NPI 1699745885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AZ · 2667
4611 E SHEA BLVD STE 190, Phoenix, AZ 85028

Other Identifiers 1

Medicaid738320AZ

Accepted 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

Jennifer Shay Kiser Pac 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 ID2567643109
PECOS Enrollment IDI20110302000110
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 4

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

Internal Medicine (Hospice and Palliative Medicine)
4611 E SHEA BLVD STE 190
PHOENIX, AZ 85028
Registered Nurse (Pain Management)
4611 E SHEA BLVD STE 190
PHOENIX, AZ 85028
Pain Medicine (Pain Medicine)
4611 E SHEA BLVD STE 190
PHOENIX, AZ 85028
Nurse Practitioner (Family)
4611 E SHEA BLVD STE 190
PHOENIX, AZ 85028

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 Jennifer Kiser's NPI number?

The NPI number for Jennifer Kiser is 1699745885. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Jennifer Kiser located?

Jennifer Kiser practices at 4611 E Shea Blvd Ste 190, Phoenix, AZ 85028. The listed phone number is (480) 889-0180.

What is Jennifer Kiser's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jennifer Kiser enrolled in Medicare?

Yes. Jennifer Kiser 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 Jennifer Kiser accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and UnitedHealthcare list Jennifer Kiser 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.

When was this NPI record last updated?

The NPPES record for Jennifer Kiser was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.