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JOANNA WISHART FNP
NPI 1073076220
Nurse Practitioner - Family in Fort Benning, GA

Active since April 12, 2019PECOS Enrolled
6600 VAN AALST BLVD, FORT BENNING, GA 31905(762) 408-0374 Get Directions Write a Review

NPPES record last updated: May 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 17, 2025, Apr 12, 2019 (2 updates tracked since 2019).

About Joanna Wishart Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOANNA WISHART FNP (NPI 1073076220) is an individual family provider in Fort Benning, Georgia, licensed in Georgia (RN263430) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073076220
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOANNA WISHARTCredential: FNP
Location Address6600 VAN AALST BLVDFort Benning, GA 31905-2102
Mailing Address6600 Van Aalst BlvdFort Benning, GA 31905-2102 · (762) 408-0374
Phone(762) 408-0374
Sole ProprietorNo
Enumeration DateApril 12, 2019
Last NPPES UpdateMay 17, 20252 updates tracked since enumeration
NPPES CertifiedMay 17, 2025
✔ NPI 1073076220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in GA · RN263430✔ Licensed in TX · 140775✔ Licensed in CA · 95026505
6600 VAN AALST BLVD, Fort Benning, GA 31905
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joanna Wishart Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID SORENSEN MD
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-0374
DR. THOMAS ALEXANDER O'HARA DO
Surgery
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (624) 083-6697
DR. JOSHUA ALLEN WILSON MD
Hospitalist
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-2273
ERIC HENDERSON
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-3107
DR. STEVEN ELIOT REISSMAN D.O.
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (706) 544-3218
DR. ANTONIO ZIHERL D.O.
Emergency Medicine
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-2604
DR. BROOKE KAHL CRNA
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-3230
DR. CHARLES WARREN GILES MOUNTS
Family Medicine (Sleep Medicine)
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-3426

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joanna Wishart's NPI number?

The NPI number for Joanna Wishart is 1073076220. It was assigned to this individual provider in the NPPES registry on April 12, 2019.

Where is Joanna Wishart located?

Joanna Wishart practices at 6600 Van Aalst Blvd, Fort Benning, GA 31905. The listed phone number is (762) 408-0374.

What is Joanna Wishart's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Joanna Wishart enrolled in Medicare?

Yes. Joanna Wishart is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joanna Wishart was last updated on May 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.