Andrea E Wismann, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

39061 Issued in OK

Practice address

6951 SE 15TH St
Midwest City, OK 73110-2748

Phone

(405) 233-0450

Fax

(405) 984-4407

NPI assigned

Apr 7, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Merit-based Incentive Payment System (MIPS)

Final score

77.26 of 100Reported as group

Quality

53.73

Promoting interoperability

100

Improvement activities

40

Cost

70.48

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Archwell Health Professional Services of Oklahoma, LLC

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1457934895

  Geriatric Medicine

  Medicare reassignment NPD
• Ou Health Partners, Inc

  dba Ou Health Partners

  • Multi-Specialty Clinic/Center
  • Oklahoma City, OK
  • NPI 1528642642
  Medicare reassignment NPD
• Ou Health Partners, Inc

  dba OUHP Orthotics & Prosthetic

  • Prosthetic/Orthotic Supplier
  • Oklahoma City, OK
  • NPI 1447834460
  NPD

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1073756045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6951 SE 15TH ST",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731102748",
            "telephone_number": "405-233-0450",
            "fax_number": "405-984-4407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1122 NE 13th St # 1200",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731171039",
            "country_code": "US",
            "telephone_number": "405-271-8558 x54336",
            "fax_number": "405-271-3887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "373 E 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "CO",
            "postal_code": "810731622",
            "country_code": "US",
            "telephone_number": "719-523-6628",
            "fax_number": "719-523-4513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISMANN",
        "first_name": "ANDREA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OK",
            "license": "39061",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR0051260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora Rebecca Winchester, APRN, BC
• Sandra Sue Windsor, DDS
• Nathan L Wineberry
• Sandra Kay Wineberry
• Peter George Wipfli, CRNA
• Clifford Grover Wlodaver, MD
• Woko PLLC (Dr Winham)
• Amberly Wood
• Audrey D Woodard, MSW
• Carlos Ferand Woodard Sr., LPC

• Geriatric Medicine (Family Medicine) Physician in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Geriatric Medicine (Family Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.