SHELLY WISZ – Family Nurse Practitioner, NPI 1235594342

SHELLY WISZ is a healthcare provider. based in Marshall, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704317586 (MI). The NPI Number for SHELLY WISZ is 1235594342

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SHELLY WISZ
NPI
1235594342
Phone
(269) 781-6600
Address
720 OLD U.S. 27
Enumeration Date
17 December 2015
Last Update Date
17 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2697814271
Graduation Year
2015 (11 years ago)
PAC ID
6103125539
Group Practice PAC ID
1254228745
Professional Enrollment ID
I20160505001999
Address ID
MI490681143MA200XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for SHELLY WISZ

  • 720 OLD U.S. 27

    MARSHALL, MI 49068

    Phone: (269) 781-6600

    Fax: (269) 781-9228

    Type: Mailing

  • 720 OLD US 27 NORTH

    MARSHALL, MI 49068

    Phone: (269) 781-6600

    Fax: (269) 781-9228

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-05-05

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
I20160505001999INurse PractitionerMITBD

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 minutes2414$0
99213Established patient office or other outpatient visit, 20-29 minutes1919$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1717$0
G0444Annual depression screening, 5 to 15 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 49068)

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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: 1254228745View full group profile
NameSpecialtyState
Nurse PractitionerMI
Family PracticeMI
G A S T R O E N T E R O L O G YMI
-MI
General SurgeryMI
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI
-MI
-MI

Reviews

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Frequently asked questions

What is the standard ID for SHELLY WISZ in the U.S.?
In the U.S., SHELLY WISZ is identified by NPI 1235594342.
Is SHELLY WISZ's NPI status active today?
Active status means SHELLY WISZ's NPI record is not deactivated in the public file.
How should patients interpret SHELLY WISZ's specialty?
The extract shows Family Nurse Practitioner for SHELLY WISZ. Clinical services aligned with this taxonomy classification.
Which community is linked to SHELLY WISZ?
SHELLY WISZ shows a connection to Marshall, Michigan in registry-derived data.
Who maintains SHELLY WISZ's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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