Patsy Wiseman, APRN-CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

58539 Issued in OK

Practice address

1252 E Quincy St
Broken Arrow, OK 74012-5637

Phone

(918) 261-4439

Fax

(877) 992-9262

NPI assigned

Dec 7, 2015

Last updated

Jul 21, 2022By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Advanced Health & Wellness LLC

  • Family Nurse Practitioner
  • Broken Arrow, OK
  • NPI 1588222525
  Authorized official Same address or phone
• Green Country Infectious Disease PC

  • Infectious Disease Physician
  • Broken Arrow, OK
  • NPI 1639639321
  NPD (past)

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689049355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 E QUINCY ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125637",
            "telephone_number": "918-261-4439",
            "fax_number": "877-992-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 E QUINCY ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125637",
            "telephone_number": "918-261-4439",
            "fax_number": "877-992-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "PATSY",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "58539",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "58539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200673190",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Rey Winford, APRN
• Louryse L. Winn
• Timothy Winn
• Casey Layne Wise
• Kathleen Wise, PHARMD.
• Payton Wisemore
• Melissa Withrow
• Rachel Woffinden
• Preston Wolff
• Lane Wolfhart

• Nurse Practitioner in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.