Active NPI
Marisa Joy Wiswell, ACNP
- Acute Care Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN1043748
- Practice address
- 900 23Rd St NW
Washington, DC 20037-2342 - Phone
- (202) 715-4000
- NPI assigned
- Jan 6, 2021
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN1043748 | DC | Primary |
Addresses
Primary practice location
900 23Rd St NW
Washington, DC 20037-2342
Mailing address
900 23Rd St NW
Washington, DC 20037-2342
Phone (202) 715-4000
Other practice location 1
110 Irving St NW Ste 4B49
Washington, DC 20010-3017
Phone (202) 877-5190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 23Rd St NW
Washington, DC 20037-2342
Phone (202) 715-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1043748 | DC | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Hospital Center Corp | Current | Accepting new patients | |
| Washington Hospital Center Corp | Current | Accepting new patients | |
| Washington Hospital Center Corp | Current | Accepting new patients | |
| Medical Faculty Associates, Inc | Current | Accepting new patients |
Locations
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
110 Irving St NW
Ste 4B49
Washington, DC 20010
Phone (202) 877-5190
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
Organizations & group practices 4
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
- Washington, DC
- NPI 1417990581
-
- Neurological Surgery Physician
- Washington, DC
- NPI 1407870124
-
- General Practice Physician
- Washington, DC
- NPI 1629394424
-
- Psychiatry Physician
- Washington, DC
- NPI 1700220837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1265020101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 23RD ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200372342",
"telephone_number": "202-715-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 23RD ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200372342",
"telephone_number": "202-715-4000"
}
],
"practiceLocations": [
{
"address_1": "110 Irving St NW Ste 4B49",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200103017",
"country_code": "US",
"telephone_number": "202-877-5190",
"fax_number": "202-877-3173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WISWELL",
"first_name": "MARISA",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-06",
"last_updated": "2023-07-27",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "DC",
"license": "RN1043748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.