Active NPI
Kathryn M Wisser, DO
- Internal Medicine Physician
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101016749
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Michigan State University College of Osteopathic Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
320 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 756-3526
Hospital & facility affiliations
- Logan Health Medical Center
- Logan Health - Whitefish
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.06 of 100
- Quality
- 89.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 146 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 175 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146371 | MT | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Gastroenterology Associates, PLLC | Gastroenterology | Current | 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 | Current | Accepting new patients | |
| Glacier Regional Pathology, LTD. | Current | Accepting new patients | |
| Kalispell Regional Medical Center, Inc | Current | Accepting new patients | |
| Rocky Mountain Gastroenterology Associates PLLC | Gastroenterology | Past | 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
- krmcmedicalrecords@krhdirect.org
- 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.
-
- General Acute Care Hospital
- Kalispell, MT
- NPI 1417945627
-
- Gastroenterology Physician
- Lakewood, CO
- NPI 1669414272
-
- Anatomic Pathology Physician
- Kalispell, MT
- NPI 1619081767
-
- Clinic/Center
- Kalispell, MT
- NPI 1235333139
-
- Radiology Clinic/Center
- Whitefish, MT
- NPI 1073362463
-
- Multi-Specialty Clinic/Center
- Kalispell, MT
- NPI 1568086452
-
- Ambulatory Surgical Clinic/Center
- Lakewood, CO
- NPI 1447799044
-
- Gastroenterology Physician
- Centennial, CO
- NPI 1508731209
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Surgical Oncology Physician
- Kalispell, MT
- NPI 1053790063
Hospital
-
- Maternal & Fetal Medicine Physician
- Kalispell, MT
- NPI 1053798710
Hospital
-
- General Acute Care Hospital
- Kalispell, MT
- NPI 1417945627
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Kalispell, MT
- NPI 1477989770
Hospital
-
- Hematology & Oncology Physician
- Kalispell, MT
- NPI 1891151122
Hospital
-
- Obstetrics & Gynecology Physician
- Kalispell, MT
- NPI 1972982981
Hospital
-
- Critical Access Hospital
- Whitefish, MT
- NPI 1396710851
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.