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ROBERT ANTHONY KIESECKER JR. DNP, FNP-BC
NPI 1750567129
Nurse Practitioner - Occupational Health in Medford, OR

Active since January 16, 2008PECOS Enrolled
781 BLACK OAK DR STE 102, MEDFORD, OR 97504(541) 789-4236(541) 789-5965 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2020, Mar 17, 2018, Sep 22, 2017 and 3 more (6 updates tracked since 2016).

About Robert Anthony Kiesecker Jr. Dnp, Fnp-bc NPPES

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

ROBERT ANTHONY KIESECKER JR. DNP, FNP-BC (NPI 1750567129) is an individual occupational health provider in Medford, Oregon, licensed in Oregon (201909324NP-PP) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750567129
Entity TypeIndividualMale
Primary Taxonomy363LX0106X
Provider Legal NameROBERT ANTHONY KIESECKER JR.Credential: DNP, FNP-BC
Location Address781 BLACK OAK DR STE 102Medford, OR 97504-9501
Mailing AddressPo Box 10880Prescott, AZ 86304-0880 · (928) 759-5987 · Fax (928) 458-2039
Phone(541) 789-4236
Fax(541) 789-5965
Sole ProprietorNo
Enumeration DateJanuary 16, 2008
Last NPPES UpdateFebruary 26, 20206 updates tracked since enumeration
✔ NPI 1750567129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Occupational HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0106X
License✔ Licensed in OR · 201909324NP-PP
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP2889 (AZ), AP60681430 (WA)
781 BLACK OAK DR STE 102, Medford, OR 97504
Open in Google Maps ↗

Other Identifiers 6

Other201909324NP-PPOR · Or Np License
OtherZ197493AZ · Medicare
Medicaid1750567129WA
OtherAP2889AZ · Az License
Medicaid405773AZ
OtherP01708343WA · Rr Medicare Wvh

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Anthony Kiesecker Jr. Dnp, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97504 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

TESSA ANN HULSE
Health and Wellness Coach
781 BLACK OAK DR STE 102
MEDFORD, OR 97504
Jackson County (541) 789-4995
MICHAEL KIDD OTR/L
Occupational Therapist
781 BLACK OAK DR STE 102
MEDFORD, OR 97504
Jackson County (541) 789-4236
YUE REYNOLDS FNP
Nurse Practitioner (Family)
781 BLACK OAK DR STE 102
MEDFORD, OR 97504
Jackson County (541) 789-4236
DR. REBECCA WERNER ARNP
Nurse Practitioner (Family)
781 BLACK OAK DR STE 102
MEDFORD, OR 97504
Jackson County (541) 789-4236
AARON RAY
Occupational Therapist
781 BLACK OAK DR STE 102
MEDFORD, OR 97504
Jackson County (541) 789-4236

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 Robert Kiesecker's NPI number?

The NPI number for Robert Kiesecker is 1750567129. It was assigned to this individual provider in the NPPES registry on January 16, 2008.

Where is Robert Kiesecker located?

Robert Kiesecker practices at 781 Black Oak Dr Ste 102, Medford, OR 97504. The listed phone number is (541) 789-4236.

What is Robert Kiesecker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Occupational Health, with taxonomy code 363LX0106X.

Is Robert Kiesecker enrolled in Medicare?

Yes. Robert Kiesecker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Kiesecker was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.