Active NPI
Abraham Joseph Kiesel, PA-C
- Medical Physician Assistant
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 10004516A
- Practice address
- 520 Mary St Ste 520
Evansville, IN 47710-1682 - Phone
- (812) 424-8231
- Fax
- (812) 435-8794
- NPI assigned
- Jul 30, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 10004516A | IN | Primary |
Addresses
Primary practice location
520 Mary St Ste 520
Evansville, IN 47710-1682
Mailing address
520 Mary St Ste 520
Evansville, IN 47710-1682
Phone (812) 424-8231
Other practice location 1
4133 Gateway Blvd Ste 290
Newburgh, IN 47630-7918
Phone (812) 424-8231
Other practice location 2
801 Saint Marys Dr Ste 200E
Evansville, IN 47714-0518
Phone (812) 424-8231
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1222091 | Other | IN | BOARD CERTIFICATION |
| 10004516A | Other | IN | INDIANA LICENSE |
| 300096298 | Medicaid | IN | |
| 7101011410 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1414 W Broadway St
Deaconess Clinic Urgent Care Princeton
Princeton, IN 47670-1142
Phone (812) 385-5283
4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 424-8231
520 Mary St
Suite 520
Evansville, IN 47710-1669
520 Mary St
Suite 520
Evansville, IN 47710-1682
Phone (812) 424-8231
600 Mary St
Evansville, IN 47710-1658
Phone (812) 424-8231
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic Inc | Current | Accepting new patients | |
| Deaconess Clinic Inc. | Current | Accepting new patients | |
| Deaconess Clinic, Inc. | Current | Accepting new patients | |
| Deaconess Clinic, Inc | Past | Accepting new patients |
Locations
3150 Warrick Dr
Boonville, IN 47601
Phone (812) 450-6430
4506 N 1st Ave
Evansville, IN 47710
Phone (812) 428-6161
2622 Menards Dr
Evansville, IN 47715
Phone (812) 450-2622
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
545 S Boehne Camp Rd
Evansville, IN 47712
Phone (812) 402-1264
120 SE 4th St
Evansville, IN 47708
Phone (812) 426-6638
4011 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 858-2100
4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240
4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200
1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187
1414 W Broadway St
Princeton, IN 47670
Phone (812) 385-5283
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1619123585
-
- Surgery Physician
- Evansville, IN
- NPI 1497707517
-
- Pediatrics Physician
- Washington, IN
- NPI 1356132310
-
- Nurse Practitioner
- Princeton, IN
- NPI 1285039420
-
- Rural Health Clinic/Center
- Petersburg, IN
- NPI 1831345792
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- General Acute Care Hospital
- Jasper, IN
- NPI 1003895947
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
-
- Critical Access Hospital
- Mount Carmel, IL
- NPI 1194728808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1699504415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 MARY ST STE 520",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101682",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 MARY ST STE 520",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101682",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8794"
}
],
"practiceLocations": [
{
"address_1": "4133 Gateway Blvd Ste 290",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476307918",
"country_code": "US",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8794",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 Saint Marys Dr Ste 200E",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477140518",
"country_code": "US",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIESEL",
"first_name": "ABRAHAM",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-30",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IN",
"license": "10004516A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD CERTIFICATION",
"identifier": "1222091",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA LICENSE",
"identifier": "10004516A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300096298",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7101011410",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.