Active NPI
Amy Elizabeth Wisnewski, PA-C
- Surgical Physician Assistant
- Boston, MA
National Provider Identifier
1063936177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9287
- Practice address
- 75 Francis St
Boston, MA 02115-6106 - Phone
- (617) 732-5500
- NPI assigned
- Jul 31, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9287 | MA | Primary |
Addresses
Primary practice location
75 Francis St
Boston, MA 02115-6106
Mailing address
97 Simpson Rd
Pelham, NH 03076-2237
Phone (603) 401-4389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham and Women's Hospital | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Mount Vernon Hospital | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
111 E 210th St
Bronx, NY 10467
Interoperability endpoints
- wisnewski.amy.bwh@direct.partners.masshiway.net
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- General Acute Care Hospital
- Boston, MA
- NPI 1093885816
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- General Acute Care Hospital
- Mount Vernon, NY
- NPI 1013345065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1063936177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 SIMPSON RD",
"city": "PELHAM",
"state": "NH",
"postal_code": "030762237",
"telephone_number": "603-401-4389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156106",
"telephone_number": "617-732-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISNEWSKI",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-31",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MA",
"license": "PA9287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.