Monica Pierce-Wysong, MD
Individual provider Active NPI Family Medicine Physician · Kirtland Afb, NM
NPI 1407923535 · NPPES record last updated Aug 15, 2026
Key facts
- NPI
- 1407923535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036122276 (IL)
- Practice address
- 2050A 2ND St SE
Kirtland Afb, NM 87117-5529 - Phone
- (505) 846-3200
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120104000472 | MO | Order and Referring Only - Family Practice |
5092981548 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036122276 | IL | Yes |
Addresses
Primary practice location
2050A 2ND St SE
Kirtland Afb, NM 87117-5529
Mailing address
2750 Fairmont Ave
Oakwood, OH 45419-1342
Phone (605) 858-8357
Other names
- Monica Pierce
Other providers in Kirtland Afb, NM
- Derick B Palmer
- James Palmer
- Michael Jonathan Paston
- John Keith Paul III
- Daniel Pena
- Thomas Powell
- Stephanie M Powers
- Bryan Presler
- David Allan Quackenbush
- Martha Vanessa Ragsdale
All providers in Kirtland Afb, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.