MRS. LUCY NELSON WISDOM MD
NPI 1669510400
Dermatology in Bloomington, IL

Q: What is Lucy Wisdom's NPI number?

The NPI number for Lucy Wisdom is 1669510400. It was assigned to this individual provider in the NPPES registry on February 2, 2007. The provider is also known as Miss Lucy A Nelson.

Q: What is Lucy Wisdom's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Lucy Wisdom was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 02, 2007PECOS EnrolledAccepts Medicare Assignment

1404 EASTLAND DRIVE, SUITE 204, BLOOMINGTON, IL 61701(309) 662-8813(309) 662-6835 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Mrs. Lucy Nelson Wisdom Md NPPES

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

MRS. LUCY NELSON WISDOM MD (NPI 1669510400) is an individual dermatology provider in Bloomington, Illinois and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Southern Illinois University School Of Medicine (2000).

NPPES Registry Identity

NPI1669510400

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameMRS. LUCY NELSON WISDOMCredential: MD

Location Address1404 EASTLAND DRIVE, SUITE 204Bloomington, IL 61701

Mailing Address1404 Eastland Drive, Suite 204Bloomington, IL 61701 · (309) 662-8813 · Fax (309) 662-6835

Phone(309) 662-8813

Fax(309) 662-6835

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2000

Enumeration DateFebruary 2, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1669510400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

1404 EASTLAND DRIVE, Bloomington, IL 61701

Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Lucy A Nelson

Other Identifiers 2

Medicare UPINI06273

Medicare ID-Type UnspecifiedK06587

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

Mrs. Lucy Nelson Wisdom 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 ID1658357041

PECOS Enrollment IDI20040626000078

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 24

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

1,739 services689 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,131 services228 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.

1,113 services881 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

438 services339 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

296 services262 patients

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.

291 services252 patients

Therapy procedure using ultraviolet radiation with tar or petroleum jelly application 96910

This therapy involves applying tar or petroleum jelly on the skin, followed by exposure to ultraviolet radiation. It helps in treating skin conditions by slowing cell growth and reducing inflammation. It's a safe, controlled process, often used for conditions like psoriasis.

259 services20 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

258 services239 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

132 services132 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

116 services75 patients

Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm 17261

This procedure involves the removal of a cancerous skin growth on the trunk, arms, or legs that is between 0.6 and 1.0 cm in size. The goal is to eliminate the cancerous cells and prevent further spread. The method of destruction may vary, including methods such as surgery, laser, or cryotherapy.

60 services46 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.

55 services55 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

51 services24 patients

Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301

This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.

44 services38 patients

Shaving of skin growth of body, arms, or legs, 0.5 cm or less 11300

This is a simple procedure where a small skin growth on your body, arms, or legs, measuring 0.5 cm or less, is carefully shaved off. It's typically quick, with minimal discomfort. It helps to prevent any potential health issues related to the growth.

34 services27 patients

Destruction of skin growth, 15 or more growths 17111

"Destruction of skin growth" refers to a procedure where unwanted skin growths, such as warts or moles, are removed. In this case, 15 or more growths are treated. Techniques may include freezing, burning, or laser therapy. It's a safe, quick process to improve skin health.

29 services27 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

26 services25 patients

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less 11310

This procedure involves the careful removal of a small skin growth on the face or related areas. A medical professional uses a special tool to gently shave off the growth, which is 0.5 cm or less. It's a common, safe procedure.

24 services22 patients

Acne surgery 10040

Acne surgery is a procedure to clear up severe acne that doesn't respond to other treatments. It involves a dermatologist using specialized tools to remove blackheads, whiteheads, and pimples. This helps to reduce the appearance of acne and prevent future breakouts.

21 services18 patients

Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm 11302

This procedure involves the careful removal of a skin growth on your body, arms, or legs. The growth is between 1.1 and 2.0 cm. A special tool is used to shave off the growth, which is a quick and relatively painless process.

18 services12 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

17 services17 patients

Removal of skin tag, 1-15 skin tags 11200

Skin tag removal is a simple procedure where small, benign growths on the skin are carefully removed. This can be achieved through several methods such as freezing, burning, or cutting off the skin tags. The process is quick, typically painless with local anesthesia, and aids in skin smoothness.

15 services15 patients

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm 11311

This procedure involves removing a small skin growth on the face or related areas like the ears, eyelids, nose, lips, or mouth. The growth is gently shaved off, typically under local anesthesia. It's a quick, safe process for growths between 0.6-1.0 cm in size.

14 services14 patients

Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm 17271

This procedure involves the removal of a small cancerous skin growth, between 0.6 to 1.0 cm, located on the scalp, neck, hands, or feet. The aim is to eliminate the cancerous cells and prevent their spread. The treatment is done in a safe, controlled environment.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140162

Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

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 6

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

DR. DEBORAH S PITCHER AUD

Audiologist

1404 EASTLAND DRIVE, SUITE 203
BLOOMINGTON, IL 61701

McLean County (309) 662-8346

SURGICAL ASSOCIATES OF BLOOMINGTON, ILL,LTD

Surgery

1404 EASTLAND DRIVE, SUITE 104
BLOOMINGTON, IL 61701

McLean County (309) 663-4351

MR. THOMAS RICHARD BRANDER MD

Dermatology

1404 EASTLAND DRIVE, SUITE 204
BLOOMINGTON, IL 61701

McLean County (309) 662-8813

EASTLAND DENTAL CENTER, LTD.

Clinic/Center

1404 EASTLAND DRIVE, STE 101
BLOOMINGTON, IL 61701

McLean County (309) 663-4711

MR. JAMES RICHARD SEEHAFER MD

Dermatology

1404 EASTLAND DRIVE, SUITE 204
BLOOMINGTON, IL 61701

McLean County (309) 662-8813

ASSOCIATES IN DERMATOLOGY SC

Dermatology

1404 EASTLAND DRIVE, SUITE 204
BLOOMINGTON, IL 61701

McLean County (309) 662-8813

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 Lucy Wisdom's NPI number?

The NPI number for Lucy Wisdom is 1669510400. It was assigned to this individual provider in the NPPES registry on February 2, 2007. The provider is also known as Miss Lucy A Nelson.

Where is Lucy Wisdom located?

Lucy Wisdom practices at 1404 Eastland Drive Suite 204, Bloomington, IL 61701. The listed phone number is (309) 662-8813.

What is Lucy Wisdom's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Lucy Wisdom enrolled in Medicare?

Yes. Lucy Wisdom 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.

Is Lucy Wisdom affiliated with any hospitals?

According to CMS data, Lucy Wisdom is affiliated with St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Lucy Wisdom was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.