Kelly T Bishop

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A167542 Issued in CA

Practice address

2615 Chester Ave
Bakersfield, CA 93301-2014

Phone

(661) 241-6700

NPI assigned

Apr 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Wagner Former name

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

General Surgery

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adventist Health Medical Center TehachapiGroup PAC ID 1456646629, 56 clinicians

Adventist Health DelanoGroup PAC ID 1254248016, 47 clinicians

Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
• Adventist Health Tehachapi Valley Hospital, Tehachapi, CA, CCN 051301
• Adventist Health Delano Hospital, Delano, CA, CCN 050608

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Adventist Health Delano

  • Registered Dietitian
  • Delano, CA
  • NPI 1578798047

  CA

  Medicare reassignment Care Compare group NPD
• Adventist Health Medical Center Tehachapi

  • Critical Access Hospital
  • Tehachapi, CA
  • NPI 1275538530

  CA

  Medicare reassignment Care Compare group NPD
• Adventist Health Physicians Network

  • Multi-Specialty Clinic/Center
  • Hanford, CA
  • NPI 1063718583

  CA

  Medicare reassignment Care Compare group NPD
• Adventist Health Delano

  • General Acute Care Hospital
  • Delano, CA
  • NPI 1851429658
  Care Compare group NPD
• Adventist Health Medical Center Tehachapi

  • Rural Health Clinic/Center
  • Mojave, CA
  • NPI 1508175431
  Care Compare group NPD
• Adventist Health Medical Center Tehachapi

  • Rural Health Clinic/Center
  • California City, CA
  • NPI 1699084525
  Care Compare group NPD
• Adventist Health Delano

  • General Acute Care Hospital
  • Delano, CA
  • NPI 1144237272
  Care Compare group NPD (past)
• Adventist Health Delano

  • Skilled Nursing Facility
  • Delano, CA
  • NPI 1033247622
  Care Compare group
• Adventist Health Delano

  • General Acute Care Hospital
  • Wasco, CA
  • NPI 1639207343
  Care Compare group
• Adventist Health Medical Center Tehachapi

  • Rural Health Clinic/Center
  • Tehachapi, CA
  • NPI 1275841629
  Care Compare group
• Adventist Health Medical Center Tehachapi

  • Critical Access Hospital
  • Tehachapi, CA
  • NPI 1689665267
  Care Compare group
• Adventist Health Physicians Network

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1083976294
  Care Compare group

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

• Adventist Health Delano

  • General Acute Care Hospital
  • Delano, CA
  • NPI 1144237272

  Hospital

  Care Compare affiliation
• Adventist Health Medical Center Tehachapi

  • Critical Access Hospital
  • Tehachapi, CA
  • NPI 1275538530

  Hospital

  Care Compare affiliation
• San Joaquin Community Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1538157508

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1154776334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 CHESTER AVE STE 102",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 CHESTER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012014",
            "telephone_number": "661-241-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "KELLY",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A167542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "WAGNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexis Breane Bird
• Maheep Singh Birdi, MD
• Pushpa Bisarya, MD
• Angie Michelle Bishop
• Holly Beth Bishop
• Vivian Bishop
• William R Bishop, MFT, CADC
• Geeta Bisht, MD
• Gregory Bittle
• Angela Ashley Bivins, RN, BSN, PHN

• All providers in Bakersfield, CA
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.

Verify at the official NPI Registry.