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DR. KEMESHA DELISSER MD
NPI 1912166786
Physical Medicine & Rehabilitation - Pain Medicine in Yuba City, CA

Active since June 05, 2008PECOS Enrolled
480 DEL NORTE AVE, YUBA CITY, CA 95991(916) 953-7571(916) 771-8515 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2024, Apr 27, 2021, Apr 16, 2021 and 2 more (5 updates tracked since 2016).

About Dr. Kemesha Delisser Md NPPES

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

DR. KEMESHA DELISSER MD (NPI 1912166786) is an individual pain medicine provider in Yuba City, California, licensed in Washington (MD60960761) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Moses Lake.

NPPES Registry Identity

NPI1912166786
Entity TypeIndividualFemale
Primary Taxonomy2081P2900X
Provider Legal NameDR. KEMESHA DELISSERCredential: MD
Location Address480 DEL NORTE AVEYuba City, CA 95991-4125
Mailing Address729 Sunrise Ave Ste 602Roseville, CA 95661-4542 · (916) 953-7571 · Fax (916) 771-8515
Phone(916) 953-7571
Fax(916) 771-8515
Sole ProprietorNo
Enumeration DateJune 5, 2008
Last NPPES UpdateOctober 9, 20245 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1912166786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in WA · MD60960761
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 0101252058 (VA)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 0101252058 (VA), MD60960761 (WA)
480 DEL NORTE AVE, Yuba City, CA 95991
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Secondary Practice Location 1

Location 11550 S Pioneer Way Ste 220Moses Lake, WA 98837-4613 · Phone (509) 793-9780 · Fax (509) 764-3244

Other Identifiers 1

Medicaid2137088WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kemesha Delisser Md 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

2

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

Advanced Pain Diagnostic & Solutions, Inc.
Same address
Pain
480 DEL NORTE AVE
Yuba City, CA 95991
  • Reassigned Medicare billing, California enrollment
  • 26 clinicians in this Medicare group
NPI 1124547559 (916) 953-7571
James Petros, M.D., Inc.
102 mi
Physical Medicine & Rehabilitation
433 ESTUDILLO AVE STE 305
San Leandro, CA 94577
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: James Petros MD Inc
  • 31 clinicians in this Medicare group
NPI 1710620554 (408) 528-8833

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 6

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
140 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
124 services113 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
75 services66 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
65 services62 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
24 services24 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
24 services24 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%373 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%3,694 patients4/55-star benchmark: 100%
Documentation of Signed Opioid Treatment Agreement
All patients 18 and older prescribed opiates for longer than six weeks duration who signed an opioid treatment agreement at least once during Opioid Therapy documented in the medical record
77%286 patients4/55-star benchmark: 100%
Evaluation or Interview for Risk of Opioid Misuse
All patients 18 and older prescribed opiates for longer than six weeks duration evaluated for risk of opioid misuse using a brief validated instrument (e.g. Opioid Risk Tool, SOAPP-R) or patient interview documented at least once during Opioid Therapy in the…
98%289 patients4/55-star benchmark: 100%
Opioid Therapy Follow-up Evaluation
All patients 18 and older prescribed opiates for longer than six weeks duration who had a follow-up evaluation conducted at least every three months during Opioid Therapy documented in the medical record
76%246 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
96%3,689 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%711 patients2/55-star benchmark: 97%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 2% · 218 patients
11%218 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ADVANCED PAIN DIAGNOSTIC & SOLUTIONS, INC.
Clinic/Center (Pain)
480 DEL NORTE AVE
YUBA CITY, CA 95991
Sutter County (916) 953-7571
DR. BRIAN TOD JENKINS M.D.
Otolaryngology
480 DEL NORTE AVE
YUBA CITY, CA 95991
Sutter County (530) 673-8399
TALWINDER GILL
Nurse Practitioner
480 DEL NORTE AVE
YUBA CITY, CA 95991
Sutter County (916) 953-7571

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 Kemesha Delisser's NPI number?

The NPI number for Kemesha Delisser is 1912166786. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Where is Kemesha Delisser located?

Kemesha Delisser practices at 480 Del Norte Ave, Yuba City, CA 95991. The listed phone number is (916) 953-7571.

What is Kemesha Delisser's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Kemesha Delisser enrolled in Medicare?

Yes. Kemesha Delisser is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kemesha Delisser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kemesha Delisser reassigns Medicare benefits to 2 organizations: Advanced Pain Diagnostic & Solutions, Inc. (Yuba City, CA) and James Petros, M.D., Inc. (San Leandro, 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 Kemesha Delisser'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 Kemesha Delisser was last updated on October 9, 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.