MRS. ELISE SHANNON PEANEY WILDERN (FNP-C) – Nurse Practitioner, NPI 1376138644
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for MRS. ELISE SHANNON PEANEY WILDERN (FNP-C)
3404 PATIENT CARE DR
LANSING, MI 489114217
Phone: (517) 267-0200
Type: Location
133 W LANSING RD
POTTERVILLE, MI 488769601
Phone: (517) 645-0000
Type: Location
137 CANTERBURY DR
CHARLOTTE, MI 488131038
Phone: (517) 896-7119
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $588.
Total Amount is formed as General ($588) + Research ($0) + Ownership ($0) = $588.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Amgen Inc. ($282).
Total Amount
$588
General + Research + Ownership
Payments
21
Total payment records
General Amount
$588
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $282 |
| Ferring Pharmaceuticals Inc. | $71 |
| Orthofix Medical, Inc. | $32 |
| Bioventus LLC | $29 |
| Boston Scientific Corporation | $28 |
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: 2021-04-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210408001531 | I | Nurse Practitioner | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 160 | 24 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 136 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 108 | 92 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 68 | 68 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 61 | 35 | $0 |
Insurance plans in this area (ZIP 48911)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | MI | |
| Physical Therapist In Private Practice | MI | |
| Orthopedic Surgery | MI | |
| Physician Assistant | MI | |
| Orthopedic Surgery | MI | |
| Physical Therapist In Private Practice | MI | |
| Orthopedic Surgery | MI | |
| Orthopedic Surgery | MI | |
| Physical Therapist In Private Practice | MI | |
| Physician Assistant | MI |
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