EMILY J WISEMAN FNP
NPI 1700327897
Nurse Practitioner - Family in Licking, MO

Active since March 09, 2017PECOS EnrolledAccepts Medicare Assignment
139 W HIGHWAY 32, LICKING, MO 65542(573) 674-3011(573) 674-4765 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 22, 2026, Aug 22, 2019, Jun 26, 2018 and 2 more (5 updates tracked since 2017).

About Emily J Wiseman Fnp NPPES

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

EMILY J WISEMAN FNP (NPI 1700327897) is an individual family provider in Licking, Missouri, licensed in Missouri (2016041028) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Phelps County Regional Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1700327897
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEMILY J WISEMANCredential: FNP
Location Address139 W HIGHWAY 32Licking, MO 65542-9898
Mailing Address139 W Highway 32Licking, MO 65542-9898 · (573) 674-3011 · Fax (573) 674-4765
Fax(573) 674-4765
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 9, 2017
Last NPPES UpdateFebruary 11, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2026
✔ NPI 1700327897 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 MO · 2016041028
139 W HIGHWAY 32, Licking, MO 65542

Other Identifiers 2

Other26D0679044MO · Clia
Medicaid420041775MO

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

Emily J Wiseman Fnp 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 ID5092092197
PECOS Enrollment IDI20170427000425
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Emily Wiseman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
139 W HIGHWAY 32
Licking, MO 65542
  • Reassigned Medicare billing, Missouri enrollment
  • 9 clinicians in this Medicare group
Rural Health
1415 W SCENIC RIVERS BLVD
Salem, MO 65560
  • Reassigned Medicare billing, Missouri enrollment
  • 195 clinicians in this Medicare group
Physical Medicine & Rehabilitation
1050 W 10TH ST
Rolla, MO 65401
  • Reassigned Medicare billing, Missouri enrollment
  • 145 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.

Hospital Affiliations CMS Care Compare 2

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

Phelps County Regional Medical Center

Acute Care Hospitals · Rolla, MO
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260017
Location1000 W 10th StRolla, MO 65401 · Phelps County
Emergency services Birthing friendly

Texas County Memorial Hospital

Acute Care Hospitals · Houston, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260024
Location1333 Sam Houston BoulevardHouston, MO 65483 · Texas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65542 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier13 claims13 services$33.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Physician Assistant
139 W HIGHWAY 32
LICKING, MO 65542
Clinic/Center (Primary Care)
139 W HIGHWAY 32
LICKING, MO 65542
Clinic/Center (Rural Health)
139 W HIGHWAY 32
LICKING, MO 65542
Family Medicine
139 W HIGHWAY 32
LICKING, MO 65542

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 Emily Wiseman's NPI number?

The NPI number for Emily Wiseman is 1700327897. It was assigned to this individual provider in the NPPES registry on March 9, 2017.

Where is Emily Wiseman located?

Emily Wiseman practices at 139 W Highway 32, Licking, MO 65542. The listed phone number is (573) 674-3011.

What is Emily Wiseman's specialty?

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

Is Emily Wiseman enrolled in Medicare?

Yes. Emily 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 organizations bill Medicare for Emily Wiseman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Wiseman reassigns Medicare benefits to 3 organizations: Texas County Memorial Hospital (Licking, MO), Phelps County Regional Medical Center (Salem, MO) and Pcrmc Medical Group, Inc (Rolla, MO). Each 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 Emily Wiseman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Wiseman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Emily 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 Emily Wiseman affiliated with any hospitals?

According to CMS data, Emily Wiseman is affiliated with Phelps County Regional Medical Center and Texas County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Emily Wiseman was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.