Individual provider Active NPI

Kathryn M Wisser, DO

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1073545273
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101016749 Issued in MI
Practice address
4255 Beecher Rd
Flint, MI 48532-3608
Phone
(810) 232-3522
Fax
(810) 762-4526
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 146371 MT
Gastroenterology Physician 207RG0100X DR.0058674 CO
Internal Medicine Physician 207R00000X 5101016749 MI Primary

Addresses

Primary practice location

4255 Beecher Rd
Flint, MI 48532-3608

Mailing address

4255 Beecher Rd
Flint, MI 48532-3608
Phone (810) 232-3522

Other practice location 1

320 Sunnyview Ln
Kalispell, MT 59901-3129
Phone (406) 752-7441

Other practice location 2

1010 Three Springs Blvd
Durango, CO 81301-8296
Phone (970) 764-3800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Direct Kalispell Regional Medical Center, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170905002432 CO Practitioner - Gastroenterology 9537313002 Reassigns benefits to 1 organization
I20241024001041 MT Practitioner - GastroenterologyPractitioner - Internal Medicine 9537313002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kalispell Regional Medical Center IncGroup PAC ID 5294644381, 422 clinicians

Practice addresses (Care Compare)

320 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 756-3526

Hospital & facility affiliations

  • Logan Health Medical Center Hospital, Kalispell, MT, CCN 270051
  • Logan Health - Whitefish Hospital, Whitefish, MT, CCN 271336

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy146
Upper gastrointestinal (GI) endoscopy for acid reflux175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
146371MTMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Gastroenterology Associates, PLLC Gastroenterology CurrentSince Sep 1, 2017 Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Dec 16, 2024 Accepting new patients
Glacier Regional Pathology, LTD. Current Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Dec 16, 2024 Accepting new patients
Rocky Mountain Gastroenterology Associates PLLC Gastroenterology PastSince Oct 12, 2025 Accepting new patients
Greenwood ASC, LLC Past Accepting new patients

Locations

7346 S Alton Way
Ste 10-L
Centennial, CO 80112
Phone (303) 770-4848

355 Union Blvd
Ste 200
Lakewood, CO 80228
Phone (303) 463-3900

355 Union Blvd
Lakewood, CO 80228

7000 W Colfax Ave
Ste B
Lakewood, CO 80214
Phone (303) 573-9951

355 Union Blvd
Ste 10
Lakewood, CO 80228
Phone (303) 689-8700

7000 W Colfax Ave
Lakewood, CO 80214
Phone (303) 671-5553

10001 Washington St
Thornton, CO 80229
Phone (303) 252-0083

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

320 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 752-7441

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

Interoperability endpoints

  • Direct secure messaging: krmcmedicalrecords@krhdirect.org
  • Direct secure messaging: kathrynwisser@rmgpllc.allscriptsdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1073545273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323608",
            "telephone_number": "810-232-3522",
            "fax_number": "810-762-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323608",
            "telephone_number": "810-232-3522",
            "fax_number": "810-762-4526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Sunnyview Ln",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013129",
            "country_code": "US",
            "telephone_number": "406-752-7441",
            "fax_number": "406-257-0304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Three Springs Blvd",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813018296",
            "country_code": "US",
            "telephone_number": "970-764-3800",
            "fax_number": "970-764-3840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISSER",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MT",
            "license": "146371",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "DR.0058674",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101016749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "320 Sunnyview Ln",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.