Individual provider Active NPI

Bryan Christopher Wisniewski, ARNP

  • Family Nurse Practitioner
  • Weeki Wachee, FL
National Provider Identifier
1881117323
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9319025 Issued in FL
Practice address
7005 Nightwalker Rd
Weeki Wachee, FL 34613-6349
Phone
(727) 807-2476
NPI assigned
Jul 17, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9319025 FL Primary

Addresses

Primary practice location

7005 Nightwalker Rd
Weeki Wachee, FL 34613-6349

Mailing address

7005 Nightwalker Road
Brooksville, FL 34613
Phone (727) 807-2476

Other practice location 1

18314 Scunthorpe Ln
Land O Lakes, FL 34638-8220
Phone (727) 247-9513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171205000441 FL Practitioner - Nurse Practitioner 9234496969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farhan Siddiqi MD PAGroup PAC ID 4284936113, 14 clinicians

Practice addresses (Care Compare)

11319 Cortez Blvd
Brooksville, FL 34613-5407
Phone (352) 597-0907

2040 Short Ave
Odessa, FL 33556-3445
Phone (727) 372-9922

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9319025FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Farhan Siddiqi, MD PA CurrentSince Oct 7, 2017 Accepting new patients
Farhan Siddiqi, MD PA CurrentSince Oct 7, 2017 Accepting new patients

Locations

2040 Short Ave
Odessa, FL 33556
Phone (727) 372-9922

2040 Short Ave
Ste 100
Odessa, FL 33556
Phone (727) 372-9922

11319 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 556-2524

7005 Nightwalker Rd
Weeki Wachee, FL 34613
Phone (352) 556-2524

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bryanwisniewski@tsce.allscriptsdirect.net

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": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881117323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 NIGHTWALKER ROAD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34613",
            "telephone_number": "727-807-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 NIGHTWALKER RD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136349",
            "telephone_number": "727-807-2476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18314 Scunthorpe Ln",
            "address_purpose": "LOCATION",
            "city": "Land O Lakes",
            "state": "FL",
            "postal_code": "346388220",
            "country_code": "US",
            "telephone_number": "727-247-9513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "BRYAN",
        "middle_name": "CHRISTOPHER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9319025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weeki Wachee, FL

Sources for this page

Verify at the official NPI Registry.