MS. KENDRA N WISEMAN (APRN, PMHNP-C) – Psychiatric/Mental Health Nurse Practitioner, NPI 1891338299

MS. KENDRA N WISEMAN (APRN, PMHNP-C) is a healthcare provider. based in Louisa, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, PMHNP-C. They hold a License No. 3013968 (KY). The NPI Number for MS. KENDRA N WISEMAN (APRN, PMHNP-C) is 1891338299

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MS. KENDRA N WISEMAN (APRN, PMHNP-C)
NPI
1891338299
Phone
(606) 638-0938
Address
125 S Main Cross St
Enumeration Date
18 October 2019
Last Update Date
4 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
7012349616
Group Practice PAC ID
6507132131
Professional Enrollment ID
I20191120002088
Address ID
KY425539140SC5775X27XX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for MS. KENDRA N WISEMAN (APRN, PMHNP-C)

  • 125 S Main Cross St

    Louisa, KY 412301330

    Phone: (606) 638-0938

    Fax: (859) 813-5394

    Type: Location

  • 102 Medical Center Dr

    Hazard, KY 417019421

    Phone: (606) 439-6713

    Fax: (606) 439-6710

    Type: Location

  • 50 Recovery Dr

    Ashland, KY 411018800

    Phone: (606) 220-0010

    Fax: (606) 744-1875

    Type: Location

  • 153, Deaton Street, Hazard, Perry County, Kentucky, 41701, United States

    HAZARD, KY 417011401

    Phone: (606) 594-6156

    Type: Mailing

  • Medical Center Drive, Hazard, Perry County, Kentucky, 41719, United States

    HAZARD, KY 417019421

    Phone: (606) 439-6713

    Fax: (606) 439-6710

    Type: Location

  • 203 S WATER ST

    LOUISA, KY 412301347

    Phone: (606) 649-2211

    Fax: (606) 638-1399

    Type: Location

  • PO BOX 726

    LOUISA, KY 412300726

    Phone: (606) 638-0938

    Fax: (859) 813-5394

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $144.

Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.

Last reported payment date: 2023-03-28 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($52).

Total Amount

$144

General + Research + Ownership

Payments

8

Total payment records

General Amount

$144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-28

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-11-20

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
I20191120002088INurse PractitionerKYTBD

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 41230)

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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: 6507132131View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Family Practice, Emergency MedicineLA
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is MS. KENDRA N WISEMAN (APRN, PMHNP-C)'s NPI number?
MS. KENDRA N WISEMAN (APRN, PMHNP-C)'s NPI is 1891338299 — the number used across U.S. healthcare to identify this provider.
Is MS. KENDRA N WISEMAN (APRN, PMHNP-C) still an active registrant?
MS. KENDRA N WISEMAN (APRN, PMHNP-C) carries an active NPI according to the public dataset.
How would a patient describe MS. KENDRA N WISEMAN (APRN, PMHNP-C)'s focus?
For MS. KENDRA N WISEMAN (APRN, PMHNP-C), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. KENDRA N WISEMAN (APRN, PMHNP-C)?
Directory geography for MS. KENDRA N WISEMAN (APRN, PMHNP-C) centers on Louisa, Kentucky.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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