Kimberly Wisecup, D.O.
NPI 1720469729 · Neonatal-Perinatal Medicine Physician · Las Vegas, NV
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Wisecup, D.O. is a Neonatal-Perinatal Medicine Physician provider in Las Vegas, NV (NPI 1720469729).
Provider details
- NPI number
- 1720469729
- Entity type
- Individual
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- OS019367 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 500 University DrHershey, PA 17033-0850Phone: (717) 531-8413
Registry dates
- Enumerated
- 2015-06-15
- Last updated
- 2022-06-29
- Certified
- 2022-06-29
Frequently asked questions
- What is Kimberly Wisecup's NPI number?
- Kimberly Wisecup's National Provider Identifier (NPI) is 1720469729, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Wisecup's specialty?
- Kimberly Wisecup is listed in the NPPES registry with a primary specialty of Neonatal-Perinatal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kimberly Wisecup located?
- Kimberly Wisecup's practice location on file with NPPES is 3186 S Maryland Pkwy, Las Vegas, NV 89109-2306.
- What is Kimberly Wisecup's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Wisecup is (702) 961-5000.
- Does Kimberly Wisecup accept Medicare?
- Kimberly Wisecup is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Wisecup's NPI active?
- Yes — Kimberly Wisecup's NPI (1720469729) is active in the NPPES registry as of the last update on 2022-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.