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STEPHANIE WISMER FNP-BC
NPI 1174389340
Nurse Practitioner - Family in Richwood, WV

Active since February 26, 2024PECOS EnrolledAccepts Medicare Assignment
71 AVENUE A, RICHWOOD, WV 26261(304) 846-2608 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 24, 2025, Jun 11, 2024 (2 updates tracked since 2024).

About Stephanie Wismer Fnp-bc NPPES

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

STEPHANIE WISMER FNP-BC (NPI 1174389340) is an individual family provider in Richwood, West Virginia, licensed in West Virginia (118356) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Summersville Regional Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174389340
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE WISMERCredential: FNP-BC
Location Address71 AVENUE ARichwood, WV 26261-1204
Mailing Address3102 Leivasy RdNettie, WV 26681-4158 · (304) 880-8836
Phone(304) 846-2608
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 26, 2024
Last NPPES UpdateFebruary 24, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1174389340 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
License✔ Licensed in WV · 118356
71 AVENUE A, Richwood, WV 26261
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

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

Stephanie Wismer Fnp-bc 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 ID5294270922
PECOS Enrollment IDI20240717002172
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.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Wismer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Camden On Gauley Medical Center Inc.
Same address
Federally Qualified Health Center (FQHC)
71 AVENUE A
Richwood, WV 26261
NPI 1811420250 (304) 846-2608

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
14 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Summersville Regional Medical Center

Critical Access Hospitals · Summersville, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511322
Location400 Fairview Heights RoadSummersville, WV 26651 · Nicholas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26261 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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

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

CAMDEN ON GAULEY MEDICAL CENTER INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
71 AVENUE A
RICHWOOD, WV 26261
Nicholas County (304) 846-2608

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 Stephanie Wismer's NPI number?

The NPI number for Stephanie Wismer is 1174389340. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Where is Stephanie Wismer located?

Stephanie Wismer practices at 71 Avenue A, Richwood, WV 26261. The listed phone number is (304) 846-2608.

What is Stephanie Wismer's specialty?

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

Is Stephanie Wismer enrolled in Medicare?

Yes. Stephanie Wismer 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 organization bills Medicare for Stephanie Wismer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Wismer reassigns Medicare benefits to Camden On Gauley Medical Center Inc. (Richwood, WV). The 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 Stephanie Wismer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Wismer accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Stephanie Wismer 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 Stephanie Wismer affiliated with any hospitals?

According to CMS data, Stephanie Wismer is affiliated with Summersville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Stephanie Wismer was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.