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JEFFREY MARK WIISANEN MD
NPI 1306282025
Internal Medicine - Hematology & Oncology in Fargo, ND

Active since May 21, 2013PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
820 4TH ST N, FARGO, ND 58102(701) 234-6161(701) 234-7592 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2019, Aug 21, 2019, May 15, 2018 and 1 more (4 updates tracked since 2016).

About Jeffrey Mark Wiisanen Md NPPES

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

JEFFREY MARK WIISANEN MD (NPI 1306282025) is an individual hematology & oncology provider in Fargo, North Dakota, licensed in Minnesota (58264) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of University Of North Dakota School Of Medicine (2013).

NPPES Registry Identity

NPI1306282025
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameJEFFREY MARK WIISANENCredential: MD
Location Address820 4TH ST NFargo, ND 58102-4539
Mailing Address820 4th St NFargo, ND 58102-4539 · (701) 234-6161 · Fax (701) 234-7592
Phone(701) 234-6161
Fax(701) 234-7592
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2013
Enumeration DateMay 21, 2013
Last NPPES UpdateSeptember 17, 20194 updates tracked since enumeration
✔ NPI 1306282025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in MN · 58264
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 58264 (MN)
820 4TH ST N, Fargo, ND 58102
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and more.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

Jeffrey Mark Wiisanen Md 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 ID1658519301
PECOS Enrollment IDI20191112003141
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.

Areas of Expertise CMS Part B claims 9

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.
306 services143 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
183 services105 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
95 services59 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
65 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services26 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
57 services40 patients

Hospital Affiliations CMS Care Compare 5

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

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240100
Location1300 Anne St NWBemidji, MN 56601 · Beltrami County
Emergency services Birthing friendly

Perham Health

Critical Access Hospitals · Perham, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241373
Location1000 Coney Street WestPerham, MN 56573 · Otter Tail County
Emergency services

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Carrington Health Center

Critical Access Hospitals · Carrington, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351318
LocationPO Box 461Carrington, ND 58421 · Foster County
Emergency services

Jamestown Regional Medical Center

Critical Access Hospitals · Jamestown, ND
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number351335
Location2422 20th St SWJamestown, ND 58401 · Stutsman County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58102 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
$168.12 typical visit price
range $55.75 – $168.12
Typical copayment $42.03 (range $13.93 – $42.03)
Most-billed visit code 99205
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

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.

GERALD G GROSS MD
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
PAULINE HOLMAN MS, CGC
Genetic Counselor, MS
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-7634
AMIT PANWALKAR
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
HARITHA REDDY MOPURU MD
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
ISAAK NATHANIEL AILTS MD
Internal Medicine
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
JARRETT FAILING M.D.
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
LISA ANN BRAUN NP
Nurse Practitioner
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
OLUWATOBI EZEKIEL ODETOLA MBBS
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (012) 346-1617

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 Jeffrey Wiisanen's NPI number?

The NPI number for Jeffrey Wiisanen is 1306282025. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is Jeffrey Wiisanen located?

Jeffrey Wiisanen practices at 820 4th St N, Fargo, ND 58102. The listed phone number is (701) 234-6161.

What is Jeffrey Wiisanen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Jeffrey Wiisanen enrolled in Medicare?

Yes. Jeffrey Wiisanen 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 Jeffrey Wiisanen accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Jeffrey Wiisanen 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 Jeffrey Wiisanen affiliated with any hospitals?

According to CMS data, Jeffrey Wiisanen is affiliated with Sanford Bemidji Medical Center, Perham Health, Sanford Medical Center Fargo, Carrington Health Center and Jamestown Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jeffrey Wiisanen was last updated on September 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.