Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Ms. Tisha M Kennebeck, PA-C
Physician Assistant in Oshkosh, WI · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1710094248
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Ms. Tisha M Kennebeck
Credential PA-C
Sex Female
Practice address 414 Doctors Ct, Oshkosh, WI, 54901
Phone (920) 303-8700
Fax (920) 303-5004
Enumeration date Aug 23, 2006
Last updated in NPPES Nov 11, 2025
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1085-023 (WI) Primary
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42975400 | Medicaid | WI | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Tisha Kennebeck?
Tisha Kennebeck is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all → Aurora Pharmacy Inc Pharmacy · Oshkosh, WI NPI 1093749210 Sheila Anderson Obstetrics & Gynecology Physician · Oshkosh, WI NPI 1124036785 Joyce Abbott Nurse Practitioner · Oshkosh, WI NPI 1003824665 Eric Duwell Family Medicine Physician · Oshkosh, WI NPI 1710092978 Ilan Shapiro Orthopaedic Surgery Physician · Oshkosh, WI NPI 1598872780 Bonnie Nickasch Nurse Practitioner · Oshkosh, WI NPI 1508959883 Eric Smiltneek Family Medicine Physician · Oshkosh, WI NPI 1013098821 Aurora Medical Group, Inc. Durable Medical Equipment & Medical Supplies · Oshkosh, WI NPI 1386784536
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-11.