MADISON WISEMAN APRN
NPI 1477206522
Nurse Practitioner in Portsmouth, OH
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Madison Wiseman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portsmouth, OH 45662
- Reassigned Medicare billing, Ohio enrollment
- 549 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.
Areas of Expertise CMS Part B claims 4
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.
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, OHKings Daughters Medical Center Ohio
Acute Care Hospitals · Portsmouth, OHPhysician 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.
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.
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.
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 Madison Wiseman's NPI number?
The NPI number for Madison Wiseman is 1477206522. It was assigned to this individual provider in the NPPES registry on January 29, 2022.
Where is Madison Wiseman located?
Madison Wiseman practices at 1248 Kinneys Ln, Portsmouth, OH 45662. The listed phone number is (740) 356-7290.
What is Madison Wiseman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Madison Wiseman enrolled in Medicare?
Yes. Madison Wiseman 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 Madison Wiseman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madison Wiseman reassigns Medicare benefits to Somc Medical Care Foundation, Inc. (Portsmouth, OH). 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 Madison Wiseman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Madison Wiseman accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Madison Wiseman 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 Madison Wiseman affiliated with any hospitals?
According to CMS data, Madison Wiseman is affiliated with Southern Ohio Medical Center and Kings Daughters Medical Center Ohio.
When was this NPI record last updated?
The NPPES record for Madison Wiseman was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Madison Wiseman, APRN · NPI 1477206522
Nurse Practitioner physician in Portsmouth, Ohio. Individual provider, active in the CMS NPPES registry since January 29, 2022.
## Identity
- **NPI:** 1477206522 (Entity type: Individual)
- **Enumerated:** January 29, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** APRN.CNP.0030127 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1248 KINNEYS LN, Portsmouth, OH 45662-2994
- **Phone:** (740) 356-7290 · **Fax:** (740) 356-7938
## 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:** Somc Medical Care Foundation, Inc. (NPI 1366686230, Portsmouth, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1477206522) · Data from the CMS NPPES public registry.