1. Home
  2. Directory
  3. New York
  4. Buffalo
  5. Nurse Practitioner
  6. NPI Profile

LYDIA MARIE WISHMAN
NPI 1275498628
Nurse Practitioner - Gerontology in Buffalo, NY

Active since December 18, 2025PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lydia Marie Wishman NPPES

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

LYDIA MARIE WISHMAN (NPI 1275498628) is an individual gerontology provider in Buffalo, New York, licensed in New York (312201-01) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Buffalo, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1275498628
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameLYDIA MARIE WISHMAN
Location Address665 ELM STBuffalo, NY 14203-1104
Mailing AddressElm And Carlton StBuffalo, NY 14263-0001
Phone(716) 341-5504
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 18, 2025
NPPES CertifiedDecember 18, 2025
✔ NPI 1275498628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NY · 312201-01
Also ListedNurse PractitionerTaxonomy 363L00000X · License 312201-01 (NY)
665 ELM ST, Buffalo, NY 14203
Open in Google Maps ↗

Secondary Practice Location 1

Location 1Elm and Carlton StBuffalo, NY 14263-0001 · Phone (716) 845-2300 ext. 71

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

Lydia Marie Wishman 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 ID547744682
PECOS Enrollment IDI20260317003912
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14203 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

DR. SHIPRA GOEL MD
Student in an Organized Health Care Education/Training Program
665 ELM ST
BUFFALO, NY 14203
Erie County (716) 845-2300
SAMNA MINHAS DDS
Dentist
665 ELM ST
BUFFALO, NY 14203
Erie County (716) 845-5970
NAIF ABDULLAH ALDHAAM MD
Urology
665 ELM ST
BUFFALO, NY 14203
Erie County (716) 845-3389
DR. ANISHA SINGH DDS
Student in an Organized Health Care Education/Training Program
665 ELM ST
BUFFALO, NY 14203
Erie County (716) 845-5972
DR. DANIEL JONATHAN KAGEDAN BSC, MD, MSC, FRCSC
Surgery
665 ELM ST
BUFFALO, NY 14203
Erie County (716) 845-5738
ROSHAN NAVARATNAM
Urology
665 ELM ST
BUFFALO, NY 14203
Erie County (716) 845-3389
MS. ELIZABETH ANNE EATON PA
Physician Assistant (Medical)
665 ELM ST
BUFFALO, NY 14203
Erie County (716) 845-2300
DR. MARISSA KRIEGER PHARMD, BCPPS
Pharmacist (Pediatrics)
665 ELM ST
BUFFALO, NY 14203
Erie County (715) 845-1300

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 Lydia Wishman's NPI number?

The NPI number for Lydia Wishman is 1275498628. It was assigned to this individual provider in the NPPES registry on December 18, 2025.

Where is Lydia Wishman located?

Lydia Wishman practices at 665 Elm St, Buffalo, NY 14203. The listed phone number is (716) 341-5504.

What is Lydia Wishman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Lydia Wishman enrolled in Medicare?

Yes. Lydia Wishman 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.

When was this NPI record last updated?

The NPPES record for Lydia Wishman was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.