MRS. MARISA CHRISTINE WIESELER (APRN) – Nurse Practitioner, NPI 1205482403
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for MRS. MARISA CHRISTINE WIESELER (APRN)
Park Street, Maxville, Jacksonville, Duval County, Florida, United States
JACKSONVILLE, FL 322044518
Phone: (904) 257-4020
Fax: (904) 559-5591
Type: Mailing
7205 W CENTER RD STE 200
OMAHA, NE 681242388
Phone: (402) 397-6600
Fax: (402) 397-8318
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $226.
Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.
Last reported payment date: 2023-06-19 • Largest payer in this snapshot: Indivior Inc. ($70).
Total Amount
$226
General + Research + Ownership
Payments
10
Total payment records
General Amount
$226
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-07-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240709000529 | I | Nurse Practitioner | NE | TBD |
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.
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 32204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| Physician Assistant | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | IA | |
| Physician Assistant | NE | |
| - | IA | |
| - | IA | |
| Physician Assistant | CO | |
| Nurse Practitioner | MN | |
| Certified Nurse Midwife (Cnm) | IA |
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