MADISON WISEMAN APRN
NPI 1477206522
Nurse Practitioner in Portsmouth, OH

Active since January 29, 2022PECOS EnrolledAccepts Medicare Assignment
76.08/100
CMS Quality Rating
1248 KINNEYS LN, PORTSMOUTH, OH 45662(740) 356-7290(740) 356-7938 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 29, 2022, Feb 15, 2022, Jan 29, 2022 (3 updates tracked since 2022).

About Madison Wiseman Aprn NPPES

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

MADISON WISEMAN APRN (NPI 1477206522) is an individual nurse practitioner in Portsmouth, Ohio, licensed in Ohio (APRN.CNP.0030127) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and maintains a secondary practice location in West Union.

NPPES Registry Identity

NPI1477206522
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMADISON WISEMANCredential: APRN
Location Address1248 KINNEYS LNPortsmouth, OH 45662-2994
Mailing Address1735 27th St Ste B06Portsmouth, OH 45662-2681 · (740) 356-8681 · Fax (740) 353-7900
Fax(740) 356-7938
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 29, 2022
Last NPPES UpdateJuly 29, 20223 updates tracked since enumeration
NPPES CertifiedJuly 29, 2022
NPI 1477206522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OH · APRN.CNP.0030127
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1248 KINNEYS LN, Portsmouth, OH 45662

Secondary Practice Location 1

Location 190 Cic BlvdWest Union, OH 45693-8024 · Phone (937) 544-8989 · Fax (937) 544-5659

Accepted 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

Madison Wiseman Aprn 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 ID7315331121
PECOS Enrollment IDI20220221001919
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
217 services101 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
44 services27 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.
29 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360361
Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45662 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $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.

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.

76.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.17
Promoting Interoperability100
Improvement Activities40
Cost43.98

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.

Dietitian, Registered
1248 KINNEYS LN
PORTSMOUTH, OH 45662
Pharmacy (Community/Retail Pharmacy)
1248 KINNEYS LN
PORTSMOUTH, OH 45662
Pharmacist
1248 KINNEYS LN
PORTSMOUTH, OH 45662
Pharmacy Technician
1248 KINNEYS LN
PORTSMOUTH, OH 45662
Pharmacy Technician
1248 KINNEYS LN
PORTSMOUTH, OH 45662
Family Medicine
1248 KINNEYS LN
PORTSMOUTH, OH 45662
Family Medicine
1248 KINNEYS LN
PORTSMOUTH, OH 45662
Nurse Practitioner
1248 KINNEYS LN
PORTSMOUTH, OH 45662

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477206522, enumerated as an "individual" on January 29, 2022.

The provider is located at 1248 KINNEYS LN PORTSMOUTH, OH 45662 and the phone number is (740) 356-7290.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Madison Wiseman is affiliated with: SOUTHERN OHIO MEDICAL CENTER and KINGS DAUGHTERS MEDICAL CENTER OHIO.