KENISHA AKEILA NISBETT D.O.
NPI 1316471527
Preventive Medicine - Addiction Medicine in Los Angeles, CA

Q: What is Kenisha Nisbett's NPI number?

The NPI number for Kenisha Nisbett is 1316471527. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Q: What is Kenisha Nisbett's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Q: When was this NPI record last updated?

The NPPES record for Kenisha Nisbett was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2017PECOS Enrolled

1513 S GRAND AVE STE 200, LOS ANGELES, CA 90015(323) 438-0483(310) 862-6817 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 6, 2022, Nov 29, 2021, Apr 15, 2021 and 1 more (4 updates tracked since 2017).

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About Kenisha Akeila Nisbett D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENISHA AKEILA NISBETT D.O. (NPI 1316471527) is an individual addiction medicine provider in Los Angeles, California, licensed in California (17194) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1316471527

Entity TypeIndividualFemale

Primary Taxonomy2083A0300X

Provider Legal NameKENISHA AKEILA NISBETTCredential: D.O.

Location Address1513 S GRAND AVE STE 200Los Angeles, CA 90015-3075

Mailing Address122 S Green St Ste 5Tehachapi, CA 93561-1717

Phone(323) 438-0483

Fax(310) 862-6817

Sole ProprietorNo

Enumeration DateApril 13, 2017

Last NPPES UpdateMay 20, 20244 updates tracked since enumeration

NPPES CertifiedApril 24, 2023

✔ NPI 1316471527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083A0300X

License✔ Licensed in CA · 17194

Definition

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

Also ListedInternal MedicineTaxonomy 207R00000X · License 20A17194 (CA)

1513 S GRAND AVE STE 200, Los Angeles, CA 90015

Open in Google Maps ↗

Secondary Practice Locations 5

Location 143845 10th St W Ste 2DLancaster, CA 93534-4800 · Phone (760) 951-0065 · Fax (760) 951-5382

Location 238920 Trade Center DrPalmdale, CA 93551-3715 · Phone (760) 951-0065 · Fax (760) 951-5382

Location 32150 N Waterman Ave Ste 300San Bernardino, CA 92404-4811 · Phone (760) 951-0065 · Fax (760) 951-5382

Location 415030 7th StVictorville, CA 92395-3811 · Phone (760) 951-0065 · Fax (760) 951-5382

Location 518056 Wika Rd Ste CApple Valley, CA 92307-2194 · Phone (760) 951-0065 · Fax (760) 951-5382

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenisha Akeila Nisbett D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kenisha Nisbett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group

4.5 mi

Health Maintenance Organization

4760 W SUNSET BLVD
Los Angeles, CA 90027

Reassigned Medicare billing, California enrollment
Also billed through NPI 1396287082 (California)
13,921 clinicians in this Medicare group

NPI 1134151657 (323) 783-4011

County Of Butte

414 mi

Mental Health (Including Community Mental Health Center)

995 SPRUCE STREET
Gridley, CA 95948

Reassigned Medicare billing, California enrollment
109 clinicians in this Medicare group

NPI 1205994548 (530) 846-7305

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY CHRISTIAN BURNEY

Nurse Practitioner (Psychiatric/Mental Health)

1513 S GRAND AVE STE 200
LOS ANGELES, CA 90015

Los Angeles County (833) 438-8763

KATHLEEN HUA

Psychiatry & Neurology (Psychiatry)

1513 S GRAND AVE STE 200
LOS ANGELES, CA 90015

Los Angeles County (833) 438-8763

CHRISTOPHER CHUOMOND LO M.D.

Ophthalmology

1513 S GRAND AVE STE 200
LOS ANGELES, CA 90015

Los Angeles County (213) 234-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenisha Nisbett's NPI number?

The NPI number for Kenisha Nisbett is 1316471527. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is Kenisha Nisbett located?

Kenisha Nisbett practices at 1513 S Grand Ave Ste 200, Los Angeles, CA 90015. The listed phone number is (323) 438-0483.

What is Kenisha Nisbett's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is Kenisha Nisbett enrolled in Medicare?

Yes. Kenisha Nisbett is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenisha Nisbett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenisha Nisbett reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Los Angeles, CA) and County Of Butte (Gridley, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenisha Nisbett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenisha Nisbett was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.