Edward Kissam, AG-ACNP
NPI 1194400473 · Acute Care Nurse Practitioner · Fort Sam Houston, TX
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edward Kissam, AG-ACNP is a Acute Care Nurse Practitioner provider in Fort Sam Houston, TX (NPI 1194400473).
Provider details
- NPI number
- 1194400473
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AG-ACNP
- Sex
- Male
- Sole proprietor
- No
- License
- 1106762 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-06-15
- Last updated
- 2023-06-15
- Certified
- 2023-06-15
Frequently asked questions
- What is Edward Kissam's NPI number?
- Edward Kissam's National Provider Identifier (NPI) is 1194400473, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edward Kissam's specialty?
- Edward Kissam is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Edward Kissam located?
- Edward Kissam's practice location on file with NPPES is 3551 Roger Brooke Dr Bldg 3600, Fort Sam Houston, TX 78234-4504.
- What is Edward Kissam's phone number?
- The practice phone number listed in the NPPES registry for Edward Kissam is (210) 916-8003.
- Does Edward Kissam accept Medicare?
- Edward Kissam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edward Kissam's NPI active?
- Yes — Edward Kissam's NPI (1194400473) is active in the NPPES registry as of the last update on 2023-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.