ZACHARY WISSMAN (PA) – Physician Assistant, NPI 1750834404

ZACHARY WISSMAN (PA) is a healthcare provider. based in Coopers mills, Maine. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA1620 (ME). The NPI Number for ZACHARY WISSMAN (PA) is 1750834404

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
ZACHARY WISSMAN (PA)
NPI
1750834404
Phone
(207) 549-7581
Address
47 MAIN ST
Enumeration Date
29 July 2016
Last Update Date
29 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2075497581
Graduation Year
2016 (10 years ago)
PAC ID
2365738853
Group Practice PAC ID
5496726523
Professional Enrollment ID
I20160909000555
Address ID
ME043410207CO47XXXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,167 PHYSICIAN ASSISTANT in ME

Provider Addresses for ZACHARY WISSMAN (PA)

  • 47 MAIN ST

    PO BOX 207

    COOPERS MILLS, ME 043410207

    Phone: (207) 549-7581

    Fax: (207) 549-3439

    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 2 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2023-02-22 • Largest payer in this snapshot: Novo Nordisk Inc ($53).

Total Amount

$53

General + Research + Ownership

Payments

2

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$53
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: 2016-09-09

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160909000555IPhysician AssistantMETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 04341)

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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: 5496726523View full group profile
NameSpecialtyState
Clinical Social WorkerME
Family PracticeID
Clinical Social WorkerME
Nurse PractitionerWA
Nurse PractitionerNH
-ME
Nurse PractitionerME
Clinical Social WorkerME
Family PracticeME
-ME

Reviews

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Frequently asked questions

What number should I use to identify ZACHARY WISSMAN (PA) for billing?
Administrative and clinical systems typically use NPI 1750834404 for ZACHARY WISSMAN (PA).
Is ZACHARY WISSMAN (PA) currently accepting referrals based on NPI status?
Registry metadata lists ZACHARY WISSMAN (PA) as active.
What does the directory say ZACHARY WISSMAN (PA) does?
Insurance directories may phrase it differently, but here ZACHARY WISSMAN (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to ZACHARY WISSMAN (PA)?
ZACHARY WISSMAN (PA) shows a connection to Coopers Mills, Maine in registry-derived data.
Who maintains ZACHARY WISSMAN (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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