MRS. LORA WIESEN NP
NPI 1700500782
Nurse Practitioner - Family in Grand Island, NE
About Mrs. Lora Wiesen Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LORA WIESEN NP (NPI 1700500782) is an individual family provider in Grand Island, Nebraska, licensed in Nebraska (114201) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Lora Wiesen Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND ISLAND, NE 68803
GRAND ISLAND, NE 68803
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 Lora Wiesen's NPI number?
The NPI number for Lora Wiesen is 1700500782. It was assigned to this individual provider in the NPPES registry on October 3, 2022.
Where is Lora Wiesen located?
Lora Wiesen practices at 2201 N Broadwell Ave, Grand Island, NE 68803. The listed phone number is (308) 382-3660.
What is Lora Wiesen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lora Wiesen enrolled in Medicare?
Yes. Lora Wiesen is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lora Wiesen was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mrs. Lora Wiesen, NP · NPI 1700500782
Family physician in Grand Island, Nebraska. Individual provider, active in the CMS NPPES registry since October 3, 2022.
## Identity
- **NPI:** 1700500782 (Entity type: Individual)
- **Enumerated:** October 3, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 114201 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 2201 N BROADWELL AVE, Grand Island, NE 68803-2153
- **Phone:** (308) 382-3660
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1700500782) · Data from the CMS NPPES public registry.