Tisha Kennebeck, PA-C
NPI 1710094248 · Physician Assistant · Oshkosh, WI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tisha Kennebeck, PA-C is a Physician Assistant provider in Oshkosh, WI (NPI 1710094248).
Provider details
- NPI number
- 1710094248
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 1085-023 (WI)
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 tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
207 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 98 | $101 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 37 | $104 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 22 | $66 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 21 | $144 |
| Administration of Influenza Virus VaccineG0008 | 17 | $30 |
| Admn Sarscov2 Vacc 1 Dose90480 | 12 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 86 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 165 | 49 |
| Losartan Potassium | 123 | 34 |
| Omeprazole | 113 | 31 |
| Amlodipine Besylate | 111 | 35 |
| Levothyroxine Sodium | 102 | 27 |
| Gabapentin | 94 | 25 |
| Albuterol Sulfate |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-23
- Last updated
- 2025-11-11
- Certified
- 2025-11-11
Frequently asked questions
- What is Tisha Kennebeck's NPI number?
- Tisha Kennebeck's National Provider Identifier (NPI) is 1710094248, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tisha Kennebeck's specialty?
- Tisha Kennebeck is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tisha Kennebeck located?
- Tisha Kennebeck's practice location on file with NPPES is 414 Doctors Ct, Oshkosh, WI 54901.
- What is Tisha Kennebeck's phone number?
- The practice phone number listed in the NPPES registry for Tisha Kennebeck is (920) 303-8700.
- Does Tisha Kennebeck accept Medicare?
- Tisha Kennebeck is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tisha Kennebeck's NPI active?
- Yes — Tisha Kennebeck's NPI (1710094248) is active in the NPPES registry as of the last update on 2025-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.