PHYSICIAN CARE WALK-IN CLINIC
NPI 1699710467
Clinic/Center in Brandon, FL
About Physician Care Walk-in Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHYSICIAN CARE WALK-IN CLINIC (NPI 1699710467) is a healthcare organization registered as a clinic/center in Brandon, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists Jerry A Wishik, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Physician Care Walk-in Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Physician Care Walk-In Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D0289295
Physician Care Walk-In Clinic · Brandon, FLFrequently 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 Jerry A Wishik, M.D., P.A.'s NPI number?
The NPI number for Jerry A Wishik, M.D., P.A. is 1699710467. It was assigned to this organization in the NPPES registry on June 17, 2006. The provider is doing business as Physician Care Walk-In Clinic.
Where is Jerry A Wishik, M.D., P.A. located?
Jerry A Wishik, M.D., P.A. is located at 620 Vonderburg Dr, Brandon, FL 33511. The listed phone number is (813) 684-1777.
What is Jerry A Wishik, M.D., P.A.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Jerry A Wishik, M.D., P.A. enrolled in Medicare?
Yes. Jerry A Wishik, M.D., P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jerry A Wishik, M.D., P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Jerry A Wishik, M.D., P.A.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jerry A Wishik, M.D., P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0289295) is associated with this NPI, valid through September 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Jerry A Wishik, M.D., P.A. accept?
Health plans from AvMed list Jerry A Wishik, M.D., P.A. 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 Jerry A Wishik, M.D., P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Physician Care Walk-In Clinic · NPI 1699710467
Clinic/Center organization in Brandon, Florida. Organization record, active in the CMS NPPES registry since June 17, 2006.
## Identity
- **NPI:** 1699710467 (Entity type: Organization)
- **Enumerated:** June 17, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Jerry A Wishik, M.d., P.a.
- **Organization subpart:** No
- **Authorized official:** Jerry Wishik, MEDICAL DIRECTOR
## Practice location
- **Address:** 620 VONDERBURG DR, Brandon, FL 33511-5971
- **Phone:** (813) 684-1777 · **Fax:** (813) 689-9559
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699710467) · Data from the CMS NPPES public registry.