Carolyn Marie Wisco, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP142642 Issued in TX

Practice address

3001 S Congress Ave Ste 100
Austin, TX 78704-6489

Phone

(512) 448-8686

Fax

(512) 464-8842

NPI assigned

Oct 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Austin Geriatric Specialists PLLCGroup PAC ID 5092770511, 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carolyn.wisco.1@25850.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4

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.

• Austin Geriatric Specialists, PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Austin, TX
  • NPI 1376575886
  Medicare reassignment Care Compare group NPD
• Hni Medical Services

  • Hospitalist Physician
  • Austin, TX
  • NPI 1366735169
  NPD (past)

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1982247094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 LOCKE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046135",
            "telephone_number": "608-792-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S CONGRESS AVE STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046489",
            "telephone_number": "512-448-8686",
            "fax_number": "512-464-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISCO",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "809564",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Winters, MFT-A
• Sunday Leann Winters, RN
• Whitney McAll Winters, NP-C
• Marie E Wirka, M.A., CCC-SLP
• Roger Wisard II
• Kristy Wisdom, BCBA
• Wise Zen Therapy, PLLC
• Brenna Christine Wise, NP
• Chrissie Wise
• Dara J Wise, CTRS

• Family Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.