Wiseman Family Practice Co PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WISEMAN FAMILY PRACTICE CO PLLC

Practice address

1500 N Grant St # 5963
Denver, CO 80203-1859

Phone

(512) 345-8970

Fax

(855) 220-9655

NPI assigned

Oct 23, 2025

Organization subpart

No

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

Authorized official

Name

Jeremy D Wiseman, MDNPI 1114188497

Title

Managing Partner

Phone

(512) 345-8970

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Douglas Wiseman, MD

  • Family Medicine Physician
  • Cedar Park, TX
  • NPI 1114188497

  CO

  Medicare reassignment NPD Authorized official
• Angelique Lavonne Bishop, APRN-CNP

  • Nurse Practitioner
  • Early, TX
  • NPI 1104415454
  NPD
• Shari Lynette Petersen, APRN, FNP-BC

  • Family Nurse Practitioner
  • Cedar Park, TX
  • NPI 1679340418
  NPD

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1295602183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S LAKELINE BLVD STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132968",
            "telephone_number": "512-345-8970",
            "fax_number": "855-220-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N GRANT ST # 5963",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031859",
            "telephone_number": "512-345-8970",
            "fax_number": "855-220-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISEMAN FAMILY PRACTICE CO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "512-345-8970",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mystie-Dawn Raymond Wise, CNMT
• Rachel Wise
• Ronald E Wise, MD
• Sarah Nicole Wise, PHARMD
• Taylor Wise, PSYD
• Alexander Clark Wiseman, MD
• Leslie Wiseman
• Kaytlin Wisenor, RDN
• Terra Wishon, DPT
• Danielle Marie Wisniewski

• Family Medicine Physician in Denver, CO
• Providers in Denver, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.