LYDIA MARIE WISHMAN
NPI 1275498628
Nurse Practitioner - Gerontology in Buffalo, NY
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
Specialties & Licenses 2
Secondary Practice Location 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Lydia Wishman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Buffalo, NY 14263
- Reassigned Medicare billing, New York enrollment
- 602 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
BUFFALO, NY 14203
BUFFALO, NY 14203
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.
Which organization bills Medicare for Lydia Wishman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Wishman reassigns Medicare benefits to Roswell Park Cancer Institute (Buffalo, NY). 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 Lydia Wishman'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 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 10 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.
# Lydia Marie Wishman · NPI 1275498628
Gerontology physician in Buffalo, New York. Individual provider, active in the CMS NPPES registry since December 18, 2025.
## Identity
- **NPI:** 1275498628 (Entity type: Individual)
- **Enumerated:** December 18, 2025
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 312201-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 665 ELM ST, Buffalo, NY 14203-1104
- **Phone:** (716) 341-5504
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Roswell Park Cancer Institute (NPI 1720036593, Buffalo, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** December 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1275498628) · Data from the CMS NPPES public registry.