ADRIENNE WISNIEWSKI (FNP-BC) – Family Nurse Practitioner, NPI 1477075729

ADRIENNE WISNIEWSKI (FNP-BC) is a healthcare provider. based in Grosse pointe, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 4704293017 (MI). The NPI Number for ADRIENNE WISNIEWSKI (FNP-BC) is 1477075729

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ADRIENNE WISNIEWSKI (FNP-BC)
NPI
1477075729
Phone
(313) 473-4630
Address
16815 E Jefferson Ave Ste L20
Enumeration Date
7 July 2017
Last Update Date
16 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2486553220
Graduation Year
2017 (9 years ago)
PAC ID
6204108616
Group Practice PAC ID
7214299866
Professional Enrollment ID
I20170821000425
Address ID
MI480731026RO4949XHWYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for ADRIENNE WISNIEWSKI (FNP-BC)

  • 16815 E Jefferson Ave Ste L20

    Grosse Pointe, MI 482301923

    Phone: (313) 473-4630

    Fax: (313) 473-6875

    Type: Location

  • 1083, Suncrest Drive, Mayfield Township, Lapeer County, Michigan, 48446, United States

    LAPEER, MI 484464421

    Phone: (810) 245-9700

    Type: Location

  • 3601 W 13 MILE RD

    ROYAL OAK, MI 480736712

    Phone: (248) 898-5000

    Type: Location

  • 4949 COOLIDGE HWY # G

    ROYAL OAK, MI 480731026

    Phone: (248) 655-3147

    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: 2017-08-21

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
I20170821000425INurse 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
99183Management of oxygen chamber therapy14718$0
View full utilization report →

Insurance plans in this area (ZIP 48230)

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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: 7214299866View full group profile
NameSpecialtyState
-MI
Hematology/Oncology, Internal MedicineMI
P S Y C H I A T R YMI
-MI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
-MI

Reviews

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Frequently asked questions

What unique ID ties claims to ADRIENNE WISNIEWSKI (FNP-BC)?
NPI 1477075729 is assigned to ADRIENNE WISNIEWSKI (FNP-BC) under the national enumeration system.
Does this profile mean ADRIENNE WISNIEWSKI (FNP-BC) is currently active?
Yes — ADRIENNE WISNIEWSKI (FNP-BC) appears active in the national provider directory.
What field does ADRIENNE WISNIEWSKI (FNP-BC) work in?
You can think of ADRIENNE WISNIEWSKI (FNP-BC) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does ADRIENNE WISNIEWSKI (FNP-BC) practice in Michigan?
You will see Grosse Pointe, Michigan on file for ADRIENNE WISNIEWSKI (FNP-BC) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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