MRS. NICOLE M WISNIEWSKI PA-C
NPI 1992960033
Physician Assistant - Medical in Manistee, MI

Q: What is Nicole Wisniewski's NPI number?

The NPI number for Nicole Wisniewski is 1992960033. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Q: What is Nicole Wisniewski's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Wisniewski was last updated on October 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 28, 2008PECOS EnrolledAccepts Medicare Assignment

1465 E PARKDALE AVE, MANISTEE, MI 49660(231) 398-1000(989) 340-1214 Get Directions Write a Review

NPPES record last updated: October 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 28, 2016, Jun 21, 2016 (2 updates tracked since 2016).

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About Mrs. Nicole M Wisniewski Pa-c NPPES

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

MRS. NICOLE M WISNIEWSKI PA-C (NPI 1992960033) is an individual medical provider in Manistee, Michigan, licensed in Michigan (5601005972) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alpena, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1992960033

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. NICOLE M WISNIEWSKICredential: PA-C

Location Address1465 E PARKDALE AVEManistee, MI 49660-9709

Mailing Address10850 E Traverse Hwy, Suite 4400Traverse City, MI 49684-1364 · (231) 346-6800 · Fax (989) 340-1214

Phone(231) 398-1000

Fax(989) 340-1214

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJuly 28, 2008

Last NPPES UpdateOctober 28, 20162 updates tracked since enumeration

✔ NPI 1992960033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601005972

1465 E PARKDALE AVE, Manistee, MI 49660

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Other Identifiers 1

Medicare PINF06016085MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Nicole M Wisniewski Pa-c 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 ID9537221767

PECOS Enrollment IDI20110527000339

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

204 services194 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

197 services184 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

71 services70 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Mymichigan Medical Center Alpena

Acute Care Hospitals · Alpena, MI

5/5 CMS rating

OwnershipProprietary

CMS Certification Number230036

Location1501 W Chisholm StAlpena, MI 49707 · Alpena County

Emergency services Birthing friendly

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.

SHANE LINKE

Pharmacist