Individual provider Active NPI

Nicholas Kurt Wischmeier, MD

  • Orthopaedic Surgery Physician
  • Gilbert, AZ
National Provider Identifier
1700148731
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
56351 Issued in AZ
Practice address
3420 S Mercy Rd Ste 200
Gilbert, AZ 85297
Phone
(866) 974-2673
Fax
(866) 939-2673
NPI assigned
Jun 14, 2012
Last updated
Aug 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 94-07858 KS
Orthopaedic Surgery Physician 207X00000X ME131765 FL
Orthopaedic Surgery Physician 207X00000X 56351 AZ Primary

Addresses

Primary practice location

3420 S Mercy Rd Ste 200
Gilbert, AZ 85297

Mailing address

18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (866) 974-2673

Other practice location 1

13020 N Telecom Pkwy
Temple Terrace, FL 33637-0925
Phone (813) 978-9700 ext. 7646

Other practice location 2

13020 N Telecom Pkwy
Temple Terrace, FL 33637-0925
Phone (813) 978-9700 ext. 7646

Other identifiers 3

IdentifierTypeStateIssuer
7179580OtherFLCIGNA
020494500MedicaidFL
JMZY9OtherFLFL BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180912000169 AZ Practitioner - Orthopedic Surgery 2860798964 Reassigns benefits to 1 organization
I20210504000860 NE Practitioner - Orthopedic Surgery 2860798964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Nebraska College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

7710 Mercy Rd
Suite 2000
Omaha, NE 68124-2323
Phone (402) 717-0820

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56351AZMDOrthopaedic Surgery Physician
ME131765FLMDOrthopaedic Surgery Physician
94-07858KSMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Orthopedic Research and Education LLC CurrentSince Aug 7, 2018 Accepting new patients
Center for Orthopedic Research and Education, LLC Orthopaedic Surgery CurrentSince Aug 7, 2018 Accepting new patients
Alegent Creighton Clinic Family Medicine CurrentSince May 1, 2021 Accepting new patients
Alegent Creighton Clinic Family Medicine PastSince May 1, 2021 Accepting new patients
Alegent Creighton Clinic Family Medicine Past Accepting new patients

Locations

2680 S Val Vista Dr
Ste 146
Gilbert, AZ 85295
Phone (480) 454-7680

3420 S Mercy Rd
Ste 200
Gilbert, AZ 85297
Phone (480) 909-3788

3591 S Mercy Rd
Ste 101
Gilbert, AZ 85297

1450 S Dobson Rd
Ste B122
Mesa, AZ 85202
Phone (480) 580-2001

1500 S Dobson Rd
Ste 202
Mesa, AZ 85202
Phone (866) 974-2373

18444 N 25th Ave
Ste 210
Phoenix, AZ 85023
Phone (623) 241-8706

18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706

9321 W Thomas Rd
Ste 205
Phoenix, AZ 85037

8952 E Desert Cove Ave
Ste 113
Scottsdale, AZ 85260
Phone (480) 314-7772

10484 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (669) 742-6738

10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311

10503 W Thunderbird Blvd
Ste 262
Sun City, AZ 85351
Phone (623) 832-5589

13995 W Statler Blvd
Ste 165
Surprise, AZ 85374
Phone (623) 537-5661

2771 Solution Ctr
Chicago, IL 60677

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

7710 Mercy Rd
Ste 2000
Omaha, NE 68124
Phone (402) 717-0820

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

Hospital & facility affiliations 5

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": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1700148731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231266",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 S MERCY RD STE 200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85297",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13020 N Telecom Pkwy",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336370925",
            "country_code": "US",
            "telephone_number": "813-978-9700 x7646",
            "fax_number": "813-558-6186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13020 N Telecom Pkwy",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336370925",
            "country_code": "US",
            "telephone_number": "813-978-9700 x7646",
            "fax_number": "813-558-6186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISCHMEIER",
        "first_name": "NICHOLAS",
        "middle_name": "KURT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "94-07858",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME131765",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "56351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7179580",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020494500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BCBS",
            "identifier": "JMZY9",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.