WISNA JEAN (M.D.) – Infectious Disease Physician, NPI 1780947424

WISNA JEAN (M.D.) is a healthcare provider. based in Baltimore, Maryland. specializing in INFECTIOUS DISEASE. They hold the professional credentials M.D.. They hold a License No. D83759 (MD). The NPI Number for WISNA JEAN (M.D.) is 1780947424

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
WISNA JEAN (M.D.)
NPI
1780947424
Phone
(410) 328-8040
Address
PO BOX 64442
Enumeration Date
18 June 2012
Last Update Date
14 November 2022

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
7704248222
Graduation Year
2012 (14 years ago)
PAC ID
9234400649
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20220901000101
Address ID
GA301527742KE5150XRDXX501
Telehealth
Yes

Contacts

Secure Messaging
wjean493934@directwellstar.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:13State licenses:3Other namesUpdated within 12 months

327 INFECTIOUS DISEASE in MD

Provider Addresses for WISNA JEAN (M.D.)

  • PO BOX 64442

    BALTIMORE, MD 212646442

    Phone: (410) 328-8040

    Fax: (443) 462-3514

    Type: Mailing

  • 22 S Greene St

    Baltimore, MD 212011544

    Phone: (410) 225-8369

    Fax: (443) 552-2685

    Type: Location

  • 22 S GREENE ST

    BALTIMORE, MD 212011544

    Phone: (410) 225-8369

    Fax: (443) 552-2685

    Type: Location

  • 1700 HOSPITAL SOUTH DR STE 402

    AUSTELL, GA 301068116

    Phone: (770) 739-8282

    Fax: (770) 739-0794

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 129 Open Payments records for all available years, with a total value of $3,053.

Total Amount is formed as General ($3,053) + Research ($0) + Ownership ($0) = $3,053.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ViiV Healthcare Company ($653).

Total Amount

$3,053

General + Research + Ownership

Payments

129

Total payment records

General Amount

$3,053

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2022-09-01

PECOS data refreshed: 2026-06-15

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
I20220901000101IInfectious DiseaseGATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes555186$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6562$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5655$0
99213Established patient office or other outpatient visit, 20-29 minutes2920$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2621$0
View full utilization report →

Insurance plans in this area (ZIP 21264)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Can I verify WISNA JEAN (M.D.) with an NPI only?
You can start verification with NPI 1780947424 for WISNA JEAN (M.D.), then check state licensing separately.
Can I rely on WISNA JEAN (M.D.) being an active provider?
As of the registry snapshot, WISNA JEAN (M.D.) is marked active.
What is WISNA JEAN (M.D.)'s primary classification?
Infectious Disease Physician is the headline specialty for WISNA JEAN (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect WISNA JEAN (M.D.) on a map?
Expect Baltimore, Maryland as a primary anchor for WISNA JEAN (M.D.) unless the record lists multiple sites.
Why does WISNA JEAN (M.D.) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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