KELSEY ANN WISEMAN
NPI 1770072837
Family Medicine in Hazen, ND
About Kelsey Ann Wiseman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY ANN WISEMAN (NPI 1770072837) is an individual family medicine provider in Hazen, North Dakota, licensed in North Dakota (17267) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and maintains a secondary practice location in Spokane.
NPPES Registry Identity
Specialties & Licenses 2
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
Kelsey Ann Wiseman 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 Kelsey Wiseman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hazen, ND 58545
- Reassigned Medicare billing, North Dakota enrollment
- 15 clinicians in this Medicare group
Hazen, ND 58545
- Reassigned Medicare billing, North Dakota enrollment
- Also billed through NPI 1700965696 (North Dakota)
- 47 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Chi St Alexius Health
Acute Care Hospitals · Bismarck, NDSanford Medical Center Bismarck
Acute Care Hospitals · Bismarck, NDSakakawea Medical Center - Cah
Critical Access Hospitals · Hazen, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
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 Kelsey Wiseman's NPI number?
The NPI number for Kelsey Wiseman is 1770072837. It was assigned to this individual provider in the NPPES registry on May 4, 2018.
Where is Kelsey Wiseman located?
Kelsey Wiseman practices at 510 8th Ave NE, Hazen, ND 58545. The listed phone number is (701) 873-4445.
What is Kelsey Wiseman's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kelsey Wiseman enrolled in Medicare?
Yes. Kelsey Wiseman 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 Kelsey Wiseman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Wiseman reassigns Medicare benefits to 2 organizations: Coal Country Community Health Center (Hazen, ND) and Hazen Memorial Hospital Association (Hazen, 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 Kelsey Wiseman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelsey Wiseman accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Kelsey Wiseman 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 Kelsey Wiseman affiliated with any hospitals?
According to CMS data, Kelsey Wiseman is affiliated with Chi St Alexius Health, Sanford Medical Center Bismarck and Sakakawea Medical Center - Cah.
When was this NPI record last updated?
The NPPES record for Kelsey Wiseman was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kelsey Ann Wiseman · NPI 1770072837
Family Medicine physician in Hazen, North Dakota. Individual provider, active in the CMS NPPES registry since May 4, 2018.
## Identity
- **NPI:** 1770072837 (Entity type: Individual)
- **Enumerated:** May 4, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 17267 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 510 8TH AVE NE, Hazen, ND 58545-4637
- **Phone:** (701) 873-4445
## 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): Coal Country Community Health Center (NPI 1841658887, Hazen, ND); Hazen Memorial Hospital Association (NPI 1356315220, Hazen, 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:** December 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1770072837) · Data from the CMS NPPES public registry.