Active NPI
Michael B Wiseman, FNP
- Nurse Practitioner
- Oak Ridge, TN
National Provider Identifier
1689637340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 16227
- Practice address
- 800 Oak Ridge Turnpike
Suite a-402
Oak Ridge, TN 37830 - Phone
- (865) 637-8812
- Fax
- (865) 824-4886
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201214 | NC | |
| Nurse Practitioner | 363L00000X | 16227 | TN | Primary |
Addresses
Primary practice location
800 Oak Ridge Turnpike
Suite a-402
Oak Ridge, TN 37830
Mailing address
1450 Dowell Springs Blvd
Suite 300
Knoxville, TN 37909
Phone (865) 637-8812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1529982 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4612 Main St
Shallotte, NC 28470-4452
Phone (910) 444-2970
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16227 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Quickcare Family Practice, PLLC | Current | Accepting new patients | |
| Cherokee Indian Hospital Authority | Past | Accepting new patients | |
| Cherokee Indian Hospital Authority | Past | Accepting new patients | |
| Total Renal Care of North Carolina LLC | Past | Accepting new patients | |
| Uhs Ventures | Past | Accepting new patients |
Locations
2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054
4612 Main St
Shallotte, NC 28470
Phone (910) 444-2970
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Biscoe, NC
- NPI 1881360899
-
- Urgent Care Clinic/Center
- Sevierville, TN
- NPI 1235669680
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cherokee, NC
- NPI 1588840318
-
- General Acute Care Hospital
- Cherokee, NC
- NPI 1770662348
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Greensboro, NC
- NPI 1588462469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1689637340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 DOWELL SPRINGS BLVD",
"address_2": "SUITE 300",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37909",
"telephone_number": "865-637-8812",
"fax_number": "865-637-8865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 OAK RIDGE TURNPIKE",
"address_2": "SUITE A-402",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "37830",
"telephone_number": "865-637-8812",
"fax_number": "865-824-4886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISEMAN",
"first_name": "MICHAEL",
"middle_name": "B",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "201214",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "16227",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1529982",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.