DR. JASON EDWARD KISSER PH.D.
NPI 1770141673
Clinical Neuropsychologist in Minneapolis, MN

Q: What is Jason Kisser's NPI number?

The NPI number for Jason Kisser is 1770141673. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Q: What is Jason Kisser's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Kisser was last updated on June 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 05, 2019PECOS EnrolledAccepts Medicare Assignment

83.53/100

CMS Quality Rating

3915 GOLDEN VALLEY RD, MINNEAPOLIS, MN 55422(612) 262-3464 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 10, 2022, Oct 23, 2020, Jun 5, 2019 (3 updates tracked since 2019).

On this page

About Dr. Jason Edward Kisser Ph.d. NPPES

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

DR. JASON EDWARD KISSER PH.D. (NPI 1770141673) is an individual clinical neuropsychologist in Minneapolis, Minnesota, licensed in Minnesota (LP6782) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and maintains a secondary practice location in Dearborn.

NPPES Registry Identity

NPI1770141673

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. JASON EDWARD KISSERCredential: PH.D.

Location Address3915 GOLDEN VALLEY RDMinneapolis, MN 55422-4249

Mailing Address3915 Golden Valley RdMinneapolis, MN 55422-4249

Phone(612) 262-3464

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2017

Enumeration DateJune 5, 2019

Last NPPES UpdateJune 10, 20223 updates tracked since enumeration

NPPES CertifiedJune 10, 2022

✔ NPI 1770141673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Licenses✔ Licensed in MN · LP6782✔ Licensed in MI · 6301017201

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License LP6782 (MN), 6301017201 (MI)

3915 GOLDEN VALLEY RD, Minneapolis, MN 55422

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Secondary Practice Location 1

Location 118181 Oakwood Blvd Ste 411Dearborn, MI 48124-4082 · Phone (313) 982-5150 · Fax (313) 982-5157

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Dr. Jason Edward Kisser Ph.d. 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 ID7719216001

PECOS Enrollment IDI20220607003264

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.

Medicare Billing Reassignment

Medicare enrollment records show Jason Kisser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Allina Health System

3.3 mi

Obstetrics & Gynecology

121 S 8TH ST STE 600
Minneapolis, MN 55402

Reassigned Medicare billing, Minnesota enrollment
3,733 clinicians in this Medicare group

NPI 1801836663 (612) 333-4822

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139

This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.

307 services50 patients

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

103 services53 patients

Exam of neurobehavioral status, first hour 96116

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

68 services64 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

56 services55 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes 96138

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

50 services50 patients

Hospital Affiliations CMS Care Compare

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240057

Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.79

Promoting Interoperability

100

Improvement Activities

Cost

63.31

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.

CYNTHIA BYRON GUDDAL LISW, CPRP

Social Worker

3915 GOLDEN VALLEY RD, COURAGE CENTER
GOLDEN VALLEY, MN 55422

Hennepin County (763) 520-0378

SHANE POCHANT

Physical Therapist

3915 GOLDEN VALLEY RD
MINNEAPOLIS, MN 55422

Hennepin County (612) 775-2455

NICOLE KRAEMER PT

Physical Therapist

3915 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55422

Hennepin County (763) 520-0540

JUSTIN E BRANK PTA

Physical Therapy Assistant

3915 GOLDEN VALLEY RD, COURAGE CENTER
GOLDEN VALLEY, MN 55422

Hennepin County (763) 588-0811

JANICE PATRICIA KEHLER PT MSC MA

Physical Therapist

3915 GOLDEN VALLEY RD, COURAGE CENTER
GOLDEN VALLEY, MN 55422

Hennepin County (763) 588-0811

JESSICA A CARR PTA

Physical Therapy Assistant

3915 GOLDEN VALLEY RD, COURAGE CENTER
GOLDEN VALLEY, MN 55422

Hennepin County (763) 520-0359

GEORGETTE R DANCZYK M.A., CCC-SLP

Speech-Language Pathologist

3915 GOLDEN VALLEY RD, COURAGE CENTER
GOLDEN VALLEY, MN 55422

Hennepin County (763) 588-0811

MS. AMBER LYNN WACEK P.T.

Physical Therapist

3915 GOLDEN VALLEY RD
MINNEAPOLIS, MN 55422

Hennepin County (763) 588-0811

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 Jason Kisser's NPI number?

The NPI number for Jason Kisser is 1770141673. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Where is Jason Kisser located?

Jason Kisser practices at 3915 Golden Valley Rd, Minneapolis, MN 55422. The listed phone number is (612) 262-3464.

What is Jason Kisser's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jason Kisser enrolled in Medicare?

Yes. Jason Kisser 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 Jason Kisser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Kisser reassigns Medicare benefits to Allina Health System (Minneapolis, MN). 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 Jason Kisser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Kisser accept?

Health plans from Medica list Jason Kisser 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 Jason Kisser affiliated with any hospitals?

According to CMS data, Jason Kisser is affiliated with Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Jason Kisser was last updated on June 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.