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BETHANY DANIELLE WISNIEWSKI PA-C
NPI 1619693702
Physician Assistant - Surgical in Fort Myers, FL

Active since October 19, 2022PECOS Enrolled
100/100
CMS Quality Rating
6150 DIAMOND CENTRE CT UNIT 1200, FORT MYERS, FL 33912(239) 344-9786 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Feb 13, 2025, Aug 11, 2023, Oct 19, 2022 (3 updates tracked since 2022).

About Bethany Danielle Wisniewski Pa-c NPPES

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

BETHANY DANIELLE WISNIEWSKI PA-C (NPI 1619693702) is an individual surgical provider in Fort Myers, Florida, licensed in Florida (PA9116636) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Lauderdale.

NPPES Registry Identity

NPI1619693702
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameBETHANY DANIELLE WISNIEWSKICredential: PA-C
Location Address6150 DIAMOND CENTRE CT UNIT 1200Fort Myers, FL 33912-7135
Mailing Address3040 Oasis Grand Blvd Apt 2202Fort Myers, FL 33916-1607 · (561) 779-0610
Phone(239) 344-9786
Sole ProprietorNo
Enumeration DateOctober 19, 2022
Last NPPES UpdateFebruary 13, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1619693702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA9116636
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9116636 (FL)
6150 DIAMOND CENTRE CT UNIT 1200, Fort Myers, FL 33912
Open in Google Maps ↗

Secondary Practice Location 1

Location 11995 E Oakland Park Blvd Ste 310Fort Lauderdale, FL 33306-1138 · Phone (954) 791-6146

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany Danielle Wisniewski Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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 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.
58 services58 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
15 services15 patients

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES

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

JUAN CARLOS IBARRA MORENO SA-C
Specialist/Technologist, Other (Surgical Assistant)
6150 DIAMOND CENTRE CT UNIT 1200
FORT MYERS, FL 33912
Lee County (239) 344-9786

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 Bethany Wisniewski's NPI number?

The NPI number for Bethany Wisniewski is 1619693702. It was assigned to this individual provider in the NPPES registry on October 19, 2022.

Where is Bethany Wisniewski located?

Bethany Wisniewski practices at 6150 Diamond Centre Ct Unit 1200, Fort Myers, FL 33912. The listed phone number is (239) 344-9786.

What is Bethany Wisniewski's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Bethany Wisniewski enrolled in Medicare?

Yes. Bethany Wisniewski is registered in the Medicare PECOS enrollment system.

What insurance does Bethany Wisniewski accept?

Health plans from Oscar Health Maintenance Organization of Florida list Bethany Wisniewski 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.

When was this NPI record last updated?

The NPPES record for Bethany Wisniewski was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.