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MR. RICHARD GOODMAN WISEMAN FNP
NPI 1871690263
Nurse Practitioner - Family in Holly Springs, MS

Active since September 20, 2006PECOS Enrolled
538 J M ASH DR, HOLLY SPRINGS, MS 38635(662) 252-1599 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Richard Goodman Wiseman Fnp NPPES

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

MR. RICHARD GOODMAN WISEMAN FNP (NPI 1871690263) is an individual family provider in Holly Springs, Mississippi, licensed in Mississippi (R549096) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1871690263
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. RICHARD GOODMAN WISEMANCredential: FNP
Location Address538 J M ASH DRHolly Springs, MS 38635-3238
Mailing Address538 J M Ash DrHolly Springs, MS 38635-3238 · (662) 252-1599
Phone(662) 252-1599
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1871690263 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 MS · R549096
538 J M ASH DR, Holly Springs, MS 38635
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Other Identifiers 3

Medicare ID-Type Unspecified50001715MS
Medicaid00114188MS
Medicare UPINQ34863MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Richard Goodman Wiseman Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800847914
PECOS Enrollment IDI20050207000420
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38635 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers24 claims33 services$5.79 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$57.59 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$28.94 avg. paid by Medicare
Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only E2370
DME-Wheelchairs · category DD009N
1 supplier17 claims17 services$40.81 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims2,323 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$23.78 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.

STEPHANIE M HARDIN FNP
Nurse Practitioner
538 J M ASH DR
HOLLY SPRINGS, MS 38635
Marshall County (662) 252-1599
NANCY C BOATWRIGHT FNP
Nurse Practitioner
538 J M ASH DR
HOLLY SPRINGS, MS 38635
Marshall County (662) 333-6933
JOSEPH JAMES DIAZ MD
Family Medicine
538 J M ASH DR
HOLLY SPRINGS, MS 38635
Marshall County (662) 252-1599
SOUTHEAST UROLOGY NETWORK
Specialist
538 J M ASH DR
HOLLY SPRINGS, MS 38635
Marshall County (662) 349-2220

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 Richard Wiseman's NPI number?

The NPI number for Richard Wiseman is 1871690263. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Richard Wiseman located?

Richard Wiseman practices at 538 J M Ash Dr, Holly Springs, MS 38635. The listed phone number is (662) 252-1599.

What is Richard Wiseman's specialty?

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

Is Richard Wiseman enrolled in Medicare?

Yes. Richard Wiseman is registered in the Medicare PECOS enrollment system.

What insurance does Richard Wiseman accept?

Health plans from Molina Healthcare list Richard 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 Richard Wiseman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.