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SHELLY WISZ
NPI 1235594342
Nurse Practitioner - Family in Marshall, MI

Active since December 17, 2015PECOS Enrolled
720 OLD US 27 NORTH, MARSHALL, MI 49068(269) 781-6600(269) 781-9228 Get Directions Write a Review

NPPES record last updated: December 17, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shelly Wisz NPPES

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

SHELLY WISZ (NPI 1235594342) is an individual family provider in Marshall, Michigan, licensed in Michigan (4704317586) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235594342
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELLY WISZ
Location Address720 OLD US 27 NORTHMarshall, MI 49068
Mailing Address720 Old U.s. 27Marshall, MI 49068 · (269) 781-6600 · Fax (269) 781-9228
Phone(269) 781-6600
Fax(269) 781-9228
Sole ProprietorNo
Enumeration DateDecember 17, 2015
✔ NPI 1235594342 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 MI · 4704317586
720 OLD US 27 NORTH, Marshall, MI 49068
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelly Wisz 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.

Medicare Billing Reassignment

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

Ella E M Brown Charitable Circle
5.9 mi
Diagnostic Radiology
200 N MADISON ST
Marshall, MI 49068
  • Reassigned Medicare billing, Michigan enrollment
  • 168 clinicians in this Medicare group
NPI 1043660467 (269) 781-4271

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49068 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Shelly Wisz's NPI number?

The NPI number for Shelly Wisz is 1235594342. It was assigned to this individual provider in the NPPES registry on December 17, 2015.

Where is Shelly Wisz located?

Shelly Wisz practices at 720 Old Us 27 North, Marshall, MI 49068. The listed phone number is (269) 781-6600.

What is Shelly Wisz's specialty?

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

Is Shelly Wisz enrolled in Medicare?

Yes. Shelly Wisz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shelly Wisz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Wisz reassigns Medicare benefits to Ella E M Brown Charitable Circle (Marshall, MI). 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 Shelly Wisz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shelly Wisz was last updated on December 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.