Active NPI
Jessica M. Wishnew, MD
- Pediatrics Physician
- Bradenton, FL
National Provider Identifier
1205099736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME120263
- Practice address
- 1414 59TH Street West
Bradenton, FL 34209 - Phone
- (941) 761-0663
- Fax
- (941) 761-3347
- NPI assigned
- Jul 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME120263 | FL | Primary |
Addresses
Primary practice location
1414 59TH Street West
Bradenton, FL 34209
Mailing address
1414 59TH Street West
Bradenton, FL 34209
Phone (941) 761-0663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012335100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME120263 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Coast Pediatrics | Pediatrics | Current | Accepting new patients |
| Pediatric Physician Services, Inc. | Pediatrics | Past | Accepting new patients |
Locations
1414 59th St W
Bradenton, FL 34209
Phone (941) 761-0663
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Bradenton, FL
- NPI 1710235569
-
dba All Children's Specialty Physicians
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764288000000",
"number": "1205099736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 59TH STREET WEST",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34209",
"telephone_number": "941-761-0663",
"fax_number": "941-761-3347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 59TH STREET WEST",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34209",
"telephone_number": "941-761-0663",
"fax_number": "941-761-3347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISHNEW",
"first_name": "JESSICA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-03",
"last_updated": "2025-11-28",
"certification_date": "2025-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME120263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012335100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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- Patricia Margaret Wingenfeld, MSSA, LCSW
- Laura Winkler, MS, CCC-SLP
- Holly Ann Winters
- Steven Joseph Witchoskey, PT, DPT, OCS
- With Care Home Care Services LLC
- With Care Transportation and Nemt Services LLC
- Patricia M Wolcott
- Jason R Wolf, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.