Richard Goodman Wiseman, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R549096 Issued in MS

Practice address

538 J M Ash Dr
Holly Springs, MS 38635-3238

Phone

(662) 252-1599

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Group practices

Alliance Healthcare System, IncGroup PAC ID 2961489547, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Tupelo, MS, CCN 257303
• Baptist Home Care and Hospice North Mississippi Home health agency, Batesville, MS, CCN 257114
• Alliance Healthcare System, Inc Hospital, Holly Springs, MS, CCN 250174

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Alliance Healthcare System Inc

  dba Williams Medical Clinic

  • Rural Health Clinic/Center
  • Holly Springs, MS
  • NPI 1821143256
  Medicare reassignment Care Compare group
• Alliance Healthcare System

  • Nurse Practitioner
  • Holly Springs, MS
  • NPI 1609973056
  Authorized official Same address or phone
• Alliance Healthcare System, Inc

  • General Acute Care Hospital
  • Holly Springs, MS
  • NPI 1043427206
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alliance Healthcare System, Inc

  • General Acute Care Hospital
  • Holly Springs, MS
  • NPI 1295826337
  Care Compare affiliation
• Gilbert's Home Health Agency, Inc.

  dba CenterWell Home Health

  • Home Health Agency
  • Tupelo, MS
  • NPI 1972509099
  Care Compare affiliation
• LHCG Xcviii, LLC

  dba Baptist Home Care & Hospice - North Mississippi

  • Home Health Agency
  • Batesville, MS
  • NPI 1275068959
  Care Compare affiliation

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871690263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 J M ASH DR",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386353238",
            "telephone_number": "662-252-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 J M ASH DR",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386353238",
            "telephone_number": "662-252-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "RICHARD",
        "middle_name": "GOODMAN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R549096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114188",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget Wicks, LMSW, LADAC, LIAC,
• Myra Wilkins
• Jerry D Williams II, FNP-C
• Kenneth Williams, MD
• Wilson Global Medical Transportation,LLC
• WMC Pharmacy
• Natalie Denise Woodard, MSW, CMHT
• Phyllis Renee Wright, FNP
• Gwendolynn Wyatt, SLP
• Kay Lavette Young, HEALTH EDUCATOR

• Family Nurse Practitioner in Holly Springs, MS
• Providers in Holly Springs, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.