EMILY J WISEMAN (FNP) – Family Nurse Practitioner, NPI 1700327897
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for EMILY J WISEMAN (FNP)
139 W HIGHWAY 32
LICKING, MO 655429898
Phone: (573) 674-3011
Fax: (573) 674-4765
Type: Mailing
1050 W 10TH ST
ROLLA, MO 654012905
Phone: (573) 364-9000
Type: Mailing
1050, West 10th Street, Rolla, Phelps County, Missouri, 65401, United States
ROLLA, MO 65401
Phone: (573) 364-9000
Fax: (573) 202-2484
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $521.
Total Amount is formed as General ($521) + Research ($0) + Ownership ($0) = $521.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($177).
Total Amount
$521
General + Research + Ownership
Payments
22
Total payment records
General Amount
$521
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-04-27
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 |
|---|---|---|---|---|
| I20170427000425 | I | Nurse Practitioner | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65542)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| - | MO | |
| General Surgery | MO | |
| Family Practice | MO | |
| - | MO | |
| Family Practice | SD |
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