Individual provider Active NPI

Sarah Wissemeier, CNP

  • Family Nurse Practitioner
  • Lawton, OK
National Provider Identifier
1235514407
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
116875 Issued in OK
Practice address
3428 NW Cache Rd
Lawton, OK 73505-3846
Phone
(580) 595-7207
NPI assigned
Jul 29, 2015
Last updated
Jul 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 116875 OK Primary

Addresses

Primary practice location

3428 NW Cache Rd
Lawton, OK 73505-3846

Mailing address

5712 NW Lady Marna Ave
Lawton, OK 73505-2000
Phone (513) 509-3617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240206004312 WA Practitioner - Nurse Practitioner 4183932403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2555 Marvin Rd NE
Lacey, WA 98516-3138
Phone (360) 413-4200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Jan 2, 2024 Accepting new patients
SF Georgia Medical Services PC CurrentSince Aug 1, 2020 Accepting new patients

Locations

2903 Stirling Rd
Fort Lauderdale, FL 33312
Phone 2124198180 ext. 98180

2555 Marvin Rd NE
Lacey, WA 98516
Phone (360) 413-4200

1018 Capitol Way S
Ste 300
Olympia, WA 98501
Phone (360) 486-6508

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1235514407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5712 NW LADY MARNA AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735052000",
            "telephone_number": "513-509-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3428 NW CACHE RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053846",
            "telephone_number": "580-595-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISSEMEIER",
        "first_name": "SARAH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "116875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.