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NICOLE A. WIZEMAN PA-C
NPI 1134511595
Physician Assistant - Surgical in Manchester, CT

Active since February 23, 2015PECOS EnrolledAccepts Medicare Assignment
71 HAYNES ST, MANCHESTER, CT 06040(860) 533-6595(860) 533-6594 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole A. Wizeman Pa-c NPPES

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

NICOLE A. WIZEMAN PA-C (NPI 1134511595) is an individual surgical provider in Manchester, Connecticut, licensed in Connecticut (3298) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Ctr, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1134511595
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameNICOLE A. WIZEMANCredential: PA-C
Location Address71 HAYNES STManchester, CT 06040-4131
Mailing Address71 Haynes StManchester, CT 06040-4131
Phone(860) 533-6595
Fax(860) 533-6594
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 23, 2015
Last NPPES UpdateJanuary 30, 2017
✔ NPI 1134511595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in CT · 3298✔ Licensed in MA · PA5251
71 HAYNES ST, Manchester, CT 06040
Open in Google Maps ↗

Other Identifiers 2

Other4686907CT · Aetna
Medicare PIND400209643CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Nicole A. Wizeman Pa-c 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 ID4688993157
PECOS Enrollment IDI20150505001133, I20191111001399
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.

Mercy Medical Ctr

Acute Care Hospitals · Springfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220066
Location271 Carew StreetSpringfield, MA 01104 · Hampden County
Emergency services Birthing friendly

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. FRANKLIN GEORGE GILLIG M.D.
Emergency Medicine
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
MRS. CORY BERNARD LCSW
Social Worker (Clinical)
71 HAYNES ST, BEHAVIORAL HEALTH UNIT
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
DR. DINESH S. SHAH M.D.
Emergency Medicine
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
DANIELLE KIREI PA
Physician Assistant
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
RAJITHA REDDY
Student in an Organized Health Care Education/Training Program
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
DR. ALLANA R LEE D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
ANDREA LYNCH PA-C
Physician Assistant (Surgical)
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-6595
JAMSHID A MARVASTI, M.D. P.C.
Psychiatry & Neurology (Psychiatry)
71 HAYNES ST, MMH
MANCHESTER, CT 06040
Capitol Planning Region (860) 643-1166

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 Nicole Wizeman's NPI number?

The NPI number for Nicole Wizeman is 1134511595. It was assigned to this individual provider in the NPPES registry on February 23, 2015.

Where is Nicole Wizeman located?

Nicole Wizeman practices at 71 Haynes St, Manchester, CT 06040. The listed phone number is (860) 533-6595.

What is Nicole Wizeman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nicole Wizeman enrolled in Medicare?

Yes. Nicole Wizeman 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.

What insurance does Nicole Wizeman accept?

Health plans from Anthem Blue Cross and Blue Shield list Nicole Wizeman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Wizeman affiliated with any hospitals?

According to CMS data, Nicole Wizeman is affiliated with Mercy Medical Ctr.

When was this NPI record last updated?

The NPPES record for Nicole Wizeman was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.