Individual provider Active NPI

Michelle L Wisniewski, AGACNP

  • Acute Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1841906849
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1105851 Issued in TX
Practice address
11970 N Central Expy
Dallas, TX 75243-3768
Phone
(214) 364-9987
NPI assigned
Jan 24, 2023
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1105851 TX Primary

Addresses

Primary practice location

11970 N Central Expy
Dallas, TX 75243-3768

Mailing address

11970 N Central Expy
Dallas, TX 75243-3768
Phone (214) 364-9987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230412002757 TX Practitioner - Nurse Practitioner 1759756323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Specialists of North Texas PLLCGroup PAC ID 1456535624, 69 clinicians

Practice addresses (Care Compare)

3537 S I 35
Suite 305
Denton, TX 76210-6803
Phone (940) 384-4599

3901 W 15TH St
Plano, TX 75075-7738
Phone (972) 596-6800

4500 Medical Ctr Dr
McKinney, TX 75069-1650
Phone (972) 547-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
68.07
Promoting interoperability
99
Improvement activities
40
Cost
74.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Specialists of North Texas, PLLC CurrentSince Mar 1, 2023 Accepting new patients
Elite Orthopaedics of Irving PLLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

11970 N Central Expy
Dallas, TX 75243
Phone (972) 566-7111

3537 S Interstate 35 E
Ste 305
Denton, TX 76210
Phone (972) 391-1915

5575 Frisco Square Blvd
Ste 240
Frisco, TX 75034

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

Interoperability endpoints

  • Direct secure messaging: michelle.wisniewski@hca7.eclinicaldirectplus.com

Organizations & group practices 2

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 1

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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1841906849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11970 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433768",
            "telephone_number": "214-364-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11970 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433768",
            "telephone_number": "214-364-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1105851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.