JACQUELINE MARIE WISEMAN NP
NPI 1073337887
Nurse Practitioner in White Plains, NY
About Jacqueline Marie Wiseman Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE MARIE WISEMAN NP (NPI 1073337887) is an individual nurse practitioner in White Plains, New York, licensed in New York (354793) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with Holy Name Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacqueline Marie Wiseman Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jacqueline Wiseman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 clinicians in this Medicare group
West Long Beach, NJ 07764
- Reassigned Medicare billing, New Jersey enrollment
- 406 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holy Name Medical Center
Acute Care Hospitals · Teaneck, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WHITE PLAINS, NY 10604
WHITE PLAINS, NY 10604
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 Jacqueline Wiseman's NPI number?
The NPI number for Jacqueline Wiseman is 1073337887. It was assigned to this individual provider in the NPPES registry on November 9, 2024.
Where is Jacqueline Wiseman located?
Jacqueline Wiseman practices at 1111 Westchester Ave, White Plains, NY 10604. The listed phone number is (914) 229-5000.
What is Jacqueline Wiseman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jacqueline Wiseman enrolled in Medicare?
Yes. Jacqueline Wiseman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacqueline Wiseman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Wiseman reassigns Medicare benefits to 2 organizations: Trustees Of Columbia University In The City Of New York (New York, NY) and Allied Digestive Health, LLC (West Long Beach, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Wiseman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jacqueline Wiseman affiliated with any hospitals?
According to CMS data, Jacqueline Wiseman is affiliated with Holy Name Medical Center.
When was this NPI record last updated?
The NPPES record for Jacqueline Wiseman was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jacqueline Marie Wiseman, NP · NPI 1073337887
Nurse Practitioner physician in White Plains, New York. Individual provider, active in the CMS NPPES registry since November 9, 2024.
## Identity
- **NPI:** 1073337887 (Entity type: Individual)
- **Enumerated:** November 9, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 354793 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1111 WESTCHESTER AVE, White Plains, NY 10604-3525
- **Phone:** (914) 229-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Trustees Of Columbia University In The City Of New York (NPI 1508266347, New York, NY); Allied Digestive Health, LLC (NPI 1265831259, West Long Beach, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073337887) · Data from the CMS NPPES public registry.