MS. KETURA PREYA WISNER D.O. NPI 1205147592

NPI Information

  • NPI: 1205147592
  • Provider Name: MS. KETURA PREYA WISNER, D.O.
  • Classification: Obstetrics & Gynecology - 207VX0201X
  • Specialization: Gynecologic Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5700 HARPER DR NE STE 410
    ALBUQUERQUE, NM
    ZIP 87109
  • Phone: (505) 843-7813

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NPI Details

MS. Ketura Preya Wisner, D.O. is a gynecologic oncology obstetrics gynecology in Albuquerque, NM with 17 years of experience. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. MS. Ketura Preya Wisner, D.O. NPI is 1205147592. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5700 HARPER DR NE STE 410
ALBUQUERQUE, NM
ZIP 87109-585
Phone: (505) 843-7813
Fax: (505) 843-6947

The NPI 1205147592 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, paclitaxel, 1 mg (HCPCS:J9267)
  • Injection, bevacizumab, 10 mg (HCPCS:J9035)
  • Injection, aprepitant, 1 mg (HCPCS:J0185)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection, palonosetron hcl, 25 mcg (HCPCS:J2469)
  • Injection, carboplatin, 50 mg (HCPCS:J9045)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of additional new drug or substance into vein (HCPCS:96375)
  • Injection, pegfilgrastim, excludes biosimilar, 0.5 mg (HCPCS:J2506)
  • Administration of chemotherapy into vein, 1 hour or less (HCPCS:96413)
  • Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less (HCPCS:96367)
  • Unclassified drugs (HCPCS:J3490)
  • Injection, diphenhydramine hcl, up to 50 mg (HCPCS:J1200)
  • Administration of chemotherapy into vein, each additional hour (HCPCS:96415)
  • Administration of additional new drug or substance into vein, 1 hour or less (HCPCS:96417)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Application of on-body injector for under skin injection (HCPCS:96377)
  • Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less (HCPCS:58571)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)

The enumeration date for this NPI number is 7/1/2010 and was last updated on 6/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyA-2079-17NEW MEXICONo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207VX0201XObstetrics & GynecologyGynecologic OncologyA-2079-17NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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