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CAROL MICHELLE WIESNER NP
NPI 1528832490
Nurse Practitioner - Family in Fort Worth, TX

Active since November 13, 2023PECOS EnrolledAccepts Medicare Assignment
2000 COOPER ST STE 120, FORT WORTH, TX 76104(817) 820-2890(817) 810-0725 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 2, 2024, Nov 13, 2023 (2 updates tracked since 2023).

About Carol Michelle Wiesner Np NPPES

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

CAROL MICHELLE WIESNER NP (NPI 1528832490) is an individual family provider in Fort Worth, Texas, licensed in Texas (1154625) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1528832490
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROL MICHELLE WIESNERCredential: NP
Location Address2000 COOPER ST STE 120Fort Worth, TX 76104-2535
Mailing Address2000 Cooper St Ste 120Fort Worth, TX 76104-2535 · (817) 820-2890 · Fax (817) 810-0725
Phone(817) 820-2890
Fax(817) 810-0725
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 13, 2023
Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1528832490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1154625
2000 COOPER ST STE 120, Fort Worth, TX 76104
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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

Carol Michelle Wiesner Np 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 ID3476044678
PECOS Enrollment IDI20251117000191
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 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 3

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

STELLA HECKER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2000 COOPER ST STE 120
FORT WORTH, TX 76104
Tarrant County (817) 820-2890
DR. KENNETH AARON MAIR M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2000 COOPER ST STE 120
FORT WORTH, TX 76104
Tarrant County (817) 820-2890
DIABETES & ENDOCRINE ASSOCIATES OF TARRANT COUNTY, L.L.P.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2000 COOPER ST STE 120
FORT WORTH, TX 76104
Tarrant County (817) 820-2890

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 Carol Wiesner's NPI number?

The NPI number for Carol Wiesner is 1528832490. It was assigned to this individual provider in the NPPES registry on November 13, 2023.

Where is Carol Wiesner located?

Carol Wiesner practices at 2000 Cooper St Ste 120, Fort Worth, TX 76104. The listed phone number is (817) 820-2890.

What is Carol Wiesner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carol Wiesner enrolled in Medicare?

Yes. Carol Wiesner 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 Carol Wiesner was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.