NISHA DESHPANDE (PA) – Physician Assistant, NPI 1154322147

NISHA DESHPANDE (PA) is a healthcare provider. based in Kenosha, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 8366-23 (WI). The NPI Number for NISHA DESHPANDE (PA) is 1154322147

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
NISHA DESHPANDE (PA)
NPI
1154322147
Phone
(262) 577-8522
Address
6308 8TH AVE STE 105
Enumeration Date
2 August 2005
Last Update Date
20 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2625514600
Graduation Year
2000 (26 years ago)
PAC ID
6002809340
Group Practice PAC ID
9537071196
Professional Enrollment ID
I20251112000488
Address ID
WI531443430KE3400XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

3,672 PHYSICIAN ASSISTANT in WI

Provider Addresses for NISHA DESHPANDE (PA)

  • 6308 8TH AVE STE 105

    KENOSHA, WI 531435031

    Phone: (262) 577-8522

    Type: Mailing

  • 3400 MARKET LN STE 300

    KENOSHA, WI 531443430

    Phone: (262) 551-4600

    Fax: (262) 551-4630

    Type: Location

  • 370 Summit St

    Elgin, IL 601203843

    Phone: (847) 608-1344

    Fax: (847) 608-0672

    Type: Location

  • 370, Summit Street, Elgin, Kane County, Illinois, 60120, United States

    ELGIN, IL 601203843

    Phone: (847) 608-1344

    Fax: (847) 608-0672

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $727.

Total Amount is formed as General ($727) + Research ($0) + Ownership ($0) = $727.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($153).

Total Amount

$727

General + Research + Ownership

Payments

29

Total payment records

General Amount

$727

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040405000507IPhysician AssistantILTBD
I20251112000488IPhysician AssistantWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9372$0
99214Established patient office or other outpatient visit, 30-39 minutes2524$0
36415Insertion of needle into vein for collection of blood sample1716$0
View full utilization report →

Insurance plans in this area (ZIP 53143)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537071196View full group profile
NameSpecialtyState
E N D O C R I N O L O G YWI
Hospitalist, Family PracticeWI
Diagnostic RadiologyWI
-WI
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YWI
Pulmonary DiseaseWI
Physician AssistantIN

Reviews

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Frequently asked questions

What NPI should I save for NISHA DESHPANDE (PA)?
Save NPI 1154322147 if you need a stable reference for NISHA DESHPANDE (PA).
Is NISHA DESHPANDE (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is NISHA DESHPANDE (PA)?
The page reflects Physician Assistant for NISHA DESHPANDE (PA). Clinical services aligned with this taxonomy classification.
What location metadata exists for NISHA DESHPANDE (PA)?
The page summarizes Kenosha, Wisconsin for NISHA DESHPANDE (PA); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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