Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelsey Ann Wiseman

Individual provider Family Medicine Physician · NPI 1770072837

Kelsey Ann Wiseman is a Family Practice in Hazen, North Dakota. Graduated from University of North Dakota School of Medicine in 2018, 8 years ago. Practices with Coal Country Community Health Center, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
8
Trained at
University of North Dakota School of Medicine
Licensed in
ND
In the registry since
2018
Specialties on file
2

Practice location Address checks out

510 8th Ave NE
Hazen, ND 58545-4637
Phone: (701) 873-4445
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 624 E Front Ave, Spokane, WA 99202-2139 — (509) 626-9900

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 17267 (ND)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770072837
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 4, 2018
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Coal Country Community Health Center — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hazen