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KIESHA M. ONYENEHO MD
NPI 1669979449
Family Medicine in Lisbon, ND

Active since April 09, 2018PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2024, Aug 2, 2021, Feb 5, 2021 and 1 more (4 updates tracked since 2018).

About Kiesha M. Onyeneho Md NPPES

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

KIESHA M. ONYENEHO MD (NPI 1669979449) is an individual family medicine provider in Lisbon, North Dakota, licensed in Minnesota (69236) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Lisbon Area Health Services, and maintains a secondary practice location in Moorhead.

NPPES Registry Identity

NPI1669979449
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIESHA M. ONYENEHOCredential: MD
Location Address905 MAIN STLisbon, ND 58054-4334
Mailing Address1702 University Dr SFargo, ND 58103-4940 · (701) 736-4180
Phone(701) 683-6400
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2018
Enumeration DateApril 9, 2018
Last NPPES UpdateJuly 17, 20244 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1669979449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 69236
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
905 MAIN ST, Lisbon, ND 58054
Open in Google Maps ↗

Other Names 1

Former Name (1)Kiesha Bullock Md

Secondary Practice Location 1

Location 1801 Belsly BlvdMoorhead, MN 56560-5055 · Phone (218) 364-6800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kiesha M. Onyeneho 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.

PECOS PAC ID941557516
PECOS Enrollment IDI20231215002653
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lisbon Area Health Services

Critical Access Hospitals · Lisbon, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351311
Location905 Main StLisbon, ND 58054 · Ransom County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58054 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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 13

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

BRIANNA KAY ELI DNP
Nurse Practitioner
905 MAIN ST
LISBON, ND 58054
Ransom County (701) 683-6400
MISS STACI RAE BLEECKER COTA/L
Occupational Therapy Assistant
905 MAIN ST
LISBON, ND 58054
Ransom County (701) 683-6402
LISBON AREA HEALTH SERVICES
Clinic/Center
905 MAIN ST
LISBON, ND 58054
Ransom County (701) 683-6400
DR. OSCAR FERNANDEZ M.D.
Family Medicine
905 MAIN ST
LISBON, ND 58054
Ransom County (701) 683-6400
KALLI LAUTT
Registered Nurse (Emergency)
905 MAIN ST
LISBON, ND 58054
Ransom County (701) 683-6401
HAILEY KATE GREGOR RN
Registered Nurse (Emergency)
905 MAIN ST
LISBON, ND 58054
Ransom County (701) 683-6400
ROBERTO A WHARTON PTA
Physical Medicine & Rehabilitation
905 MAIN ST
LISBON, ND 58054
Ransom County (701) 683-6458
REBECCA MAIRE NORD
Community Health Worker
905 MAIN ST
LISBON, ND 58054
Ransom County (701) 308-0823

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 Kiesha Onyeneho's NPI number?

The NPI number for Kiesha Onyeneho is 1669979449. It was assigned to this individual provider in the NPPES registry on April 9, 2018. The provider is also known as Kiesha Bullock MD.

Where is Kiesha Onyeneho located?

Kiesha Onyeneho practices at 905 Main St, Lisbon, ND 58054. The listed phone number is (701) 683-6400.

What is Kiesha Onyeneho's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kiesha Onyeneho enrolled in Medicare?

Yes. Kiesha Onyeneho 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.

What insurance does Kiesha Onyeneho accept?

Health plans from Medica and Sanford Health Plan list Kiesha Onyeneho as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kiesha Onyeneho affiliated with any hospitals?

According to CMS data, Kiesha Onyeneho is affiliated with Lisbon Area Health Services.

When was this NPI record last updated?

The NPPES record for Kiesha Onyeneho was last updated on July 17, 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.