Individual provider Active NPI

John Willis Kiessling, D.O.

  • Neurological Surgery Physician
  • Anchorage, AK
National Provider Identifier
1497101729
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
20A16987 Issued in CA
Practice address
3831 Piper St Ste S450
Anchorage, AK 99508-4635
Phone
(907) 258-6999
NPI assigned
May 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 20A16987 CA Primary

Addresses

Primary practice location

3831 Piper St Ste S450
Anchorage, AK 99508-4635

Mailing address

3831 Piper St Ste S450
Anchorage, AK 99508-4635
Phone (907) 258-6999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241112004241 CA Practitioner - Neurosurgery 1153855267 Reassigns benefits to 3 organizations
I20251031002332 AK Practitioner - Neurosurgery 1153855267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anchorage Neurosurgical Associates IncGroup PAC ID 4880583707, 13 clinicians

Practice addresses (Care Compare)

3831 Piper St
Suite S450
Anchorage, AK 99508-4635
Phone (907) 258-6999

Hospital & facility affiliations

  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001
  • Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017
  • Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A16987CAMDNeurological Surgery Physician
16987CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eisenhower Medical Center CurrentSince Dec 9, 2024 Accepting new patients
Cal Med Physicians and Surgeons, Inc. Neurological Surgery CurrentSince Jan 12, 2026 Accepting new patients
Arrowhead Neurosurgical Medical Group, Inc. Neurological Surgery CurrentSince Aug 16, 2024 Accepting new patients
Eisenhower Medical Center Current Accepting new patients
Anchorage Neurosurgical Associates Inc Neurological Surgery CurrentSince Oct 20, 2025 Accepting new patients
Eisenhower Medical Center CurrentSince Dec 9, 2024 Accepting new patients

Locations

3831 Piper St
Ste S450
Anchorage, AK 99508
Phone (907) 258-6999

26520 Cactus Ave
Ste A2006
Moreno Valley, CA 92555
Phone (951) 486-4460

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

Interoperability endpoints

  • Direct secure messaging: jkiessling1220609@direct.llu.edu

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1497101729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 PIPER ST STE S450",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084635",
            "telephone_number": "907-258-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 PIPER ST STE S450",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084635",
            "telephone_number": "907-258-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESSLING",
        "first_name": "JOHN",
        "middle_name": "WILLIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "20A16987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.