Tisha M. Kennebeck, PA-C
NPI 1710094248ActiveIndividual· Physician Assistant· Oshkosh, WI
Physician Assistant (PA-C) with Aurora Medical Group, Inc., practicing in Oshkosh, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $225,985 for 3,439 claims, against $20,069 paid for services in 2024. Lists Aurora Medical Ctr Oshkosh as a hospital affiliation.
Overview
| NPI | 1710094248 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 23, 2006 |
| Last updated in NPPES | Nov 11, 2025 |
| Certified by provider | Nov 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1085-023 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 96 |
|---|---|
| Services billed | 278 across 21 procedure codes |
| Paid by Medicare | $20,069 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,439 · 7,306 30-day fills |
|---|---|
| Patients | 279 |
| Total drug cost | $225,985 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Aurora Medical Group, Inc.Milwaukee, WI · 3,813 clinicians
Hospital affiliation
- Aurora Medical Ctr OshkoshOshkosh, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 43 physician assistants in Oshkosh · All physician assistants in Wisconsin