DR. KAREN E WISEMAN MD
NPI 1831222967
Pediatrics in Grand Haven, MI
About Dr. Karen E Wiseman Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KAREN E WISEMAN MD (NPI 1831222967) is an individual pediatrics provider in Grand Haven, Michigan, licensed in Michigan (4301087849) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Haven.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Karen E Wiseman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Karen Wiseman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Muskegon, MI 49445
- Reassigned Medicare billing, Michigan enrollment
- 2,446 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49417 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.
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 Karen Wiseman's NPI number?
The NPI number for Karen Wiseman is 1831222967. It was assigned to this individual provider in the NPPES registry on March 14, 2007.
Where is Karen Wiseman located?
Karen Wiseman practices at 15100 Whittaker Way, Grand Haven, MI 49417. The listed phone number is (616) 935-6300.
What is Karen Wiseman's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Karen Wiseman enrolled in Medicare?
Yes. Karen Wiseman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Karen Wiseman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Wiseman reassigns Medicare benefits to Spectrum Health Primary Care Partners (Muskegon, MI). The 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 Karen Wiseman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Wiseman accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Karen 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.
When was this NPI record last updated?
The NPPES record for Karen Wiseman was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.