DR. DANA WISEMAN (M.D.) – Family Medicine Physician, NPI 1811930795

DR. DANA WISEMAN (M.D.) is a healthcare provider. based in Willimantic, Connecticut. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 29768 (CT). The NPI Number for DR. DANA WISEMAN (M.D.) is 1811930795

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANA WISEMAN (M.D.)
NPI
1811930795
Phone
(860) 450-7471
Address
40 MANSFIELD AVE
Enumeration Date
14 June 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
8604507471
Graduation Year
1980 (46 years ago)
PAC ID
3870785017
Group Practice PAC ID
4880640630
Professional Enrollment ID
I20101007000011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DANA WISEMAN (M.D.)

  • Generations Family Health Center, 40, Mansfield Avenue, Willimantic, Windham, Windham County, Connecticut, 06226, United States

    WILLIMANTIC, CT 062262018

    Phone: (860) 450-7471

    Fax: (860) 450-0213

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-06-13 • Largest payer in this snapshot: ABBVIE INC. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$22
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101007000011IFamily PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06226)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880640630View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up DR. DANA WISEMAN (M.D.) by NPI?
Use NPI 1811930795 when you need to reference DR. DANA WISEMAN (M.D.) in forms, claims, or directories.
Is DR. DANA WISEMAN (M.D.)'s NPI currently valid?
The extract we use shows DR. DANA WISEMAN (M.D.) as active.
What kind of provider is DR. DANA WISEMAN (M.D.)?
The page reflects Family Medicine Physician for DR. DANA WISEMAN (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. DANA WISEMAN (M.D.) practice in Connecticut?
You will see Willimantic, Connecticut on file for DR. DANA WISEMAN (M.D.) alongside any extra practice locations.
Is DR. DANA WISEMAN (M.D.) a real provider?
This page reflects official NPPES data for NPI 1811930795. Always confirm identity and privileges with the practice and licensing boards.

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