KENNETH WISE MD
NPI 1447833298
Anesthesiology in Twentynine Palms, CA
About Kenneth Wise Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH WISE MD (NPI 1447833298) is an individual anesthesiology provider in Twentynine Palms, California, licensed in California (A203427) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rancho Mirage, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenneth Wise Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kenneth Wise reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Yucca Valley, CA 92284
- Reassigned Medicare billing, California enrollment
- 595 clinicians in this Medicare group
Escondido, CA 92029
- Reassigned Medicare billing, California enrollment
- 45 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TWENTYNINE PALMS, CA 92278
TWENTYNINE PALMS, CA 92278
TWENTYNINE PALMS, CA 92278
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 Kenneth Wise's NPI number?
The NPI number for Kenneth Wise is 1447833298. It was assigned to this individual provider in the NPPES registry on April 29, 2021.
Where is Kenneth Wise located?
Kenneth Wise practices at 1145 Sturgis Street, Twentynine Palms, CA 92278. The listed phone number is (410) 707-6293.
What is Kenneth Wise's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Kenneth Wise enrolled in Medicare?
Yes. Kenneth Wise is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kenneth Wise's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Wise reassigns Medicare benefits to 2 organizations: Eisenhower Medical Center (Yucca Valley, CA) and Palomar Anesthesia Partners Inc (Escondido, 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 Kenneth Wise'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 Kenneth Wise was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.