Jenna L Wishnew, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

N8363 Issued in TX

Practice address

6898 Lebanon Rd
Suite 103
Frisco, TX 75034-7473

Phone

(972) 335-7874

Fax

(214) 872-3455

NPI assigned

Jul 24, 2007

Sex

Female

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 TX

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 1

Specialty

General Surgery

Education

University of Texas Medical Branch at Galveston, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Serge Lartchenko M.D., PLLCGroup PAC ID 1850432311, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Home Health Team Home health agency, Richardson, TX, CCN 747573
• Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537
• Coralvita Richardson Hospital, Richardson, TX, CCN 670348
• Coralvita Richardson Long-term care hospital, Richardson, TX, CCN 452097

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Serge Lartchenko M.D., PLLC

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1508199621
  Medicare reassignment Care Compare group NPD
• Santaella Surgical Services PA

  • Surgery Physician
  • Frisco, TX
  • NPI 1003199506
  Medicare reassignment

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

• Coralvita Richardson, LLC

  • Long Term Care Hospital
  • Irving, TX
  • NPI 1710867775
  Care Compare affiliation
• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Richardson, TX
  • NPI 1033165501
  Care Compare affiliation
• Sterling Home Health Care Inc

  • Home Health Agency
  • Richardson, TX
  • NPI 1902088966
  Care Compare affiliation

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1932309283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6898 LEBANON RD",
            "address_2": "SUITE 103",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347473",
            "telephone_number": "972-335-7874",
            "fax_number": "214-872-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6898 LEBANON RD",
            "address_2": "SUITE 103",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347473",
            "telephone_number": "972-335-7874",
            "fax_number": "214-872-3455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8210 Walnut Hill Ln Ste 505",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314420",
            "country_code": "US",
            "telephone_number": "214-345-4160",
            "fax_number": "214-345-4165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISHNEW",
        "first_name": "JENNA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N8363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285930801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sharyce Lyna Wise, D.C.
• Sarah Danielle Wiskoski, BCBA
• Brianna Witchen
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• Kaitlyn Pauline Witt
• Arya Wokhlu

• Surgery Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.