JACOB MICHAEL KISIEL DO
NPI 1952049520
Student in an Organized Health Care Education/Training Program in Lebanon, NH

Q: What is Jacob Kisiel's NPI number?

The NPI number for Jacob Kisiel is 1952049520. It was assigned to this individual provider in the NPPES registry on May 24, 2022.

Q: What is Jacob Kisiel's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Kisiel was last updated on July 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 24, 2022PECOS Enrolled

1 MEDICAL CENTER DR, LEBANON, NH 03756(603) 650-5000 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 4, 2025, Mar 18, 2023, May 24, 2022 (3 updates tracked since 2022).

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About Jacob Michael Kisiel Do NPPES

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

JACOB MICHAEL KISIEL DO (NPI 1952049520) is an individual student in an organized health care education/training program in Lebanon, New Hampshire, licensed in New Hampshire (R4575) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Erie.

NPPES Registry Identity

NPI1952049520

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACOB MICHAEL KISIELCredential: DO

Location Address1 MEDICAL CENTER DRLebanon, NH 03756-1000

Mailing Address1 Medical Center DrLebanon, NH 03756-0001 · (603) 650-5000

Phone(603) 650-5000

Sole ProprietorNo

Enumeration DateMay 24, 2022

Last NPPES UpdateJuly 4, 20253 updates tracked since enumeration

NPPES CertifiedJuly 4, 2025

✔ NPI 1952049520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NH · R4575

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License OT021611 (PA)

1 MEDICAL CENTER DR, Lebanon, NH 03756

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Secondary Practice Location 1

Location 15515 Peach StErie, PA 16509-2603 · Phone (814) 868-2476

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Michael Kisiel Do 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.

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.

MRS. JANICE M BRENNAN APRN

Nurse Practitioner (Family)

1 MEDICAL CENTER DR, DHMC DEPARTMENT OF OCCUPATION MEDICINE
LEBANON, NH 03756

Grafton County (603) 560-5000

MS. SHELLEY GRACE BENSON R.PH.

Pharmacist (Oncology)

1 MEDICAL CENTER DR
LEBANON, NH 03756

Grafton County (603) 650-5417

ELIAS LOUKAS M.D.

Internal Medicine

1 MEDICAL CENTER DR, DHMC SECTION OF HOSPITAL MEDICINE
LEBANON, NH 03756

Grafton County (603) 650-8380

SARAH S SEO MD

Otolaryngology

1 MEDICAL CENTER DR, OTOLARYNGOLOGY
LEBANON, NH 03756

Grafton County (603) 650-8123

DR. SRINIVAS J. IVATURY MD

Colon & Rectal Surgery

1 MEDICAL CENTER DR, COLON & RECTAL SURGERY DEPARTMENT
LEBANON, NH 03756

Grafton County (603) 650-8113

TIMOTHY EARLEY D.O.

Student in an Organized Health Care Education/Training Program

1 MEDICAL CENTER DR
LEBANON, NH 03756

Grafton County (201) 694-0663

HANNAH ELIZABETH FOOTE BENSIMHON M.D.

Internal Medicine (Cardiovascular Disease)

1 MEDICAL CENTER DR
LEBANON, NH 03756

Grafton County (603) 650-5000

EMILE JOSEPH HASAN M.D.

Student in an Organized Health Care Education/Training Program

1 MEDICAL CENTER DR
LEBANON, NH 03756

Grafton County (603) 650-5000

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 Jacob Kisiel's NPI number?

The NPI number for Jacob Kisiel is 1952049520. It was assigned to this individual provider in the NPPES registry on May 24, 2022.

Where is Jacob Kisiel located?

Jacob Kisiel practices at 1 Medical Center Dr, Lebanon, NH 03756. The listed phone number is (603) 650-5000.

What is Jacob Kisiel's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Kisiel enrolled in Medicare?

Yes. Jacob Kisiel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Kisiel was last updated on July 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.