Individual provider Active NPI

Patricia G Wiseman, MD

  • Family Medicine Physician
  • Greenwood, IN
National Provider Identifier
1053474585
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01048920 Issued in IN
Practice address
3000 S State Road 135 Ste 200
Greenwood, IN 46143-9829
Phone
(317) 535-1876
Fax
(317) 535-5049
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01048920 IN Primary

Addresses

Primary practice location

3000 S State Road 135 Ste 200
Greenwood, IN 46143-9829

Mailing address

PO Box 800
Franklin, IN 46131-0800
Phone (317) 736-6133

Other practice location 1

1155 W Jefferson St Ste 101
Franklin, IN 46131-2731
Phone (317) 736-6133

Other identifiers 2

IdentifierTypeStateIssuer
080172495OtherINRAILROAD MEDICARE
200286440MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101011000944 IN Practitioner - Family Practice 5395937205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Johnson Memorial Health Physician Network LLCGroup PAC ID 1850629361, 35 clinicians

Practice addresses (Care Compare)

1155 W Jefferson St
Suite 101
Franklin, IN 46131-2731
Phone (317) 736-6133

Hospital & facility affiliations

  • Suburban Home Health LLC Home health agency, Noblesville, IN, CCN 157092
  • Johnson Memorial Hospital Hospital, Franklin, IN, CCN 150001
  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01048920INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Memorial Health Physician Network, LLC Family Medicine CurrentSince Dec 1, 2019 Accepting new patients
Orthopaedic Care Center Under Johnson Memorial Hospital Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

1155 W Jefferson St
Ste 101
Franklin, IN 46131
Phone (317) 346-7934

3000 S State Road 135
Ste 200
Greenwood, IN 46143
Phone (317) 535-1876

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1053474585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461310800",
            "telephone_number": "317-736-6133",
            "fax_number": "317-736-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 S STATE ROAD 135 STE 200",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461439829",
            "telephone_number": "317-535-1876",
            "fax_number": "317-535-5049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 W Jefferson St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "IN",
            "postal_code": "461312731",
            "country_code": "US",
            "telephone_number": "317-736-6133",
            "fax_number": "317-736-6403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "PATRICIA",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01048920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080172495",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200286440",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.