Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JACQUELINE MARIE WISEMAN NP
NPI 1073337887
Nurse Practitioner in White Plains, NY

Q: 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.

Q: What is Jacqueline Wiseman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since November 09, 2024PECOS Enrolled

1111 WESTCHESTER AVE, WHITE PLAINS, NY 10604(914) 229-5000 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2026, Nov 9, 2024 (2 updates tracked since 2024).

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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

NPI1073337887

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJACQUELINE MARIE WISEMANCredential: NP

Location Address1111 WESTCHESTER AVEWhite Plains, NY 10604-3525

Mailing Address1111 Westchester AveWhite Plains, NY 10604-3525

Phone(914) 229-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 9, 2024

Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration

NPPES CertifiedJuly 24, 2026

✔ NPI 1073337887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · 354793

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 26NJ15359900 (NJ)

1111 WESTCHESTER AVE, White Plains, NY 10604

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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 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.

PECOS PAC ID6002313392

PECOS Enrollment IDI20251010004214

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.

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, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310008

Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County

Emergency services Birthing friendly

Physician 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.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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Other Providers at the Same Location NPPES 18

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

TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

Durable Medical Equipment & Medical Supplies

1111 WESTCHESTER AVE
WHITE PLAINS, NY 10604

Westchester County (914) 327-2700

MR. JOHN COLLINI NP

Nurse Practitioner (Family)

1111 WESTCHESTER AVE
WHITE PLAINS, NY 10604

Westchester County (212) 305-1021

SOPHIA KICIUK FNP

Nurse Practitioner (Family)

1111 WESTCHESTER AVE, PEPSICO EMPLOYEE HEALTH OFFICE
WHITE PLAINS, NY 10604

Westchester County (914) 253-2770

ERIN DULLAGHAN HEINZ PSY.D.

Psychologist (Clinical)

1111 WESTCHESTER AVE
WHITE PLAINS, NY 10604

Westchester County (646) 756-6289

ESTRELLA VARNAGY

Nurse Practitioner (Family)

1111 WESTCHESTER AVE
WHITE PLAINS, NY 10604

Westchester County (914) 229-5000

LAUREN GOLDMAN PA-C

Physician Assistant

1111 WESTCHESTER AVE, MEDICAL OFFICE
WHITE PLAINS, NY 10604

Westchester County (914) 253-2770

DR. IAN BENJAMIN PENZEL PH.D.

Psychologist

1111 WESTCHESTER AVE
WHITE PLAINS, NY 10604

Westchester County (914) 229-5000

ODELYA HARTUNG KAUFMAN MD, PHD

Medical Genetics (Clinical Genetics (M.D.))

1111 WESTCHESTER AVE
WHITE PLAINS, NY 10604

Westchester County (914) 327-2700

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.

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 11 days 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.