KIESHA M. ONYENEHO MD
NPI 1669979449
Family Medicine in Lisbon, ND
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kiesha Onyeneho reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lisbon, ND 58054
- Reassigned Medicare billing, North Dakota enrollment
- Also billed through NPI 1184051971 (North Dakota)
- 39 clinicians in this Medicare group
Fargo, ND 58104
- Reassigned Medicare billing, Minnesota enrollment
- 87 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.
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, NDPhysician 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.
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.
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.
Which organizations bill Medicare for Kiesha Onyeneho's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kiesha Onyeneho reassigns Medicare benefits to 2 organizations: Lisbon Area Health Services (Lisbon, ND) and Innovis Health LLC (Fargo, ND). 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 Kiesha Onyeneho's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kiesha Onyeneho accept?
Health plans from Blue Cross Blue Shield of North Dakota 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.
# Kiesha M. Onyeneho, MD · NPI 1669979449
Family Medicine physician in Lisbon, North Dakota. Individual provider, active in the CMS NPPES registry since April 9, 2018.
## Identity
- **NPI:** 1669979449 (Entity type: Individual)
- **Enumerated:** April 9, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 69236 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 905 MAIN ST, Lisbon, ND 58054-4334
- **Phone:** (701) 683-6400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lisbon Area Health Services (NPI 1609872431, Lisbon, ND); Innovis Health LLC (NPI 1144776576, Fargo, ND) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Dakota School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** July 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1669979449) · Data from the CMS NPPES public registry.