Provider Profile
Tisha M. Kennebeck, PA-C is a physician assistant practicing in Oshkosh, WI. According to Medicare claims data, Tisha cared for 205 Medicare patients across 235 services. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, and established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
414 DOCTORS CT
Oshkosh, WI 54901
235 services · 205 patients · 8 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Influenza vaccine split virus, preservative free | Treatment | 90662 |
16 | As often as other peers in Physician Assistant |
| Sarscov2 vac 50 mcg/0.5ml im | Treatment | 91322 |
12 | Less often than most peers in Physician Assistant |
| Admn sarscov2 vacc 1 dose | Treatment | 90480 |
12 | Less often than most peers in Physician Assistant |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
98 | More often than most peers in Physician Assistant |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Billing code | G0439 |
37 | As often as other peers in Physician Assistant |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
22 | Less often than most peers in Physician Assistant |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | Office visit | 99215 |
21 | As often as other peers in Physician Assistant |
| Administration of influenza virus vaccine | Billing code | G0008 |
17 | As often as other peers in Physician Assistant |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Tisha M. Kennebeck is a physician assistant in Oshkosh, WI. That is the designation recorded for this NPI in the federal registry.
NPI registry
Tisha M. Kennebeck is listed at 414 Doctors CT, Oshkosh, WI 54901. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (920) 303-8700. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Tisha M. Kennebeck's National Provider Identifier is 1710094248. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Tisha M. Kennebeck attended Other, graduating in 1998. This comes from the CMS National Downloadable File.
CMS public data
Tisha M. Kennebeck has 28 years experience. Calculated from a graduation year of 1998, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Tisha M. Kennebeck provides treatments such as influenza vaccine split virus, preservative free and sarscov2 vac 50 mcg/0.5ml im, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Tisha M. Kennebeck. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.