DIANA STEPHANIE WISEMAN (NP-C) – Nurse Practitioner, NPI 1447863600

DIANA STEPHANIE WISEMAN (NP-C) is a healthcare provider. based in Walpole, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. AG06200288 (MA). The NPI Number for DIANA STEPHANIE WISEMAN (NP-C) is 1447863600

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DIANA STEPHANIE WISEMAN (NP-C)
NPI
1447863600
Phone
(617) 759-0484
Address
965 WEST ST
Enumeration Date
27 August 2020
Last Update Date
6 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177262000
Graduation Year
2020 (6 years ago)
PAC ID
6103235924
Group Practice PAC ID
6507803806
Professional Enrollment ID
I20210507001179
Address ID
MA021142621BO55XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:5State licenses:2Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for DIANA STEPHANIE WISEMAN (NP-C)

  • 965 WEST ST

    WALPOLE, MA 020811200

    Phone: (617) 759-0484

    Type: Mailing

  • 55 FRUIT ST

    YAWKEY CENTER SUITE 3B

    BOSTON, MA 021142696

    Phone: (617) 724-4133

    Type: Mailing

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 $171.

Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Stryker Corporation ($171).

Total Amount

$171

General + Research + Ownership

Payments

1

Total payment records

General Amount

$171

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$171
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: 2021-05-07

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
I20210507001179INurse PractitionerMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1814$0
99215Established patient office or other outpatient visit, 40-54 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 02081)

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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: 6507803806View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Internal MedicineMA
-MA
-MA
Anesthesiology, Pain ManagementMA
-MA
Clinical PsychologistMA
Internal MedicineMA
Internal MedicineMA
-MA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DIANA STEPHANIE WISEMAN (NP-C)?
DIANA STEPHANIE WISEMAN (NP-C) — NPI 1447863600 — is the standard way to identify this listing.
Is DIANA STEPHANIE WISEMAN (NP-C) still practicing?
DIANA STEPHANIE WISEMAN (NP-C) is currently listed as active in the public NPI registry.
What taxonomy line describes DIANA STEPHANIE WISEMAN (NP-C)?
For research purposes, treat DIANA STEPHANIE WISEMAN (NP-C) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does DIANA STEPHANIE WISEMAN (NP-C) list a practice location?
Patients near Walpole, Massachusetts may find DIANA STEPHANIE WISEMAN (NP-C) in results; validate coverage separately.
Why does DIANA STEPHANIE WISEMAN (NP-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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