MR. JON M WIESELER (PT) – Physical Therapist, NPI 1295890804

MR. JON M WIESELER (PT) is a healthcare provider. based in North platte, Nebraska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 546 (NE). The NPI Number for MR. JON M WIESELER (PT) is 1295890804

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
MR. JON M WIESELER (PT)
NPI
1295890804
Phone
(308) 532-5480
Address
1001 SOUTH COTTONWOOD
Enumeration Date
26 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3085325480
Graduation Year
1981 (45 years ago)
PAC ID
0840482519
Group Practice PAC ID
5597957266
Professional Enrollment ID
I20101013000587
Address ID
NE691016138NO1001XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

841 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NE

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Provider Addresses for MR. JON M WIESELER (PT)

  • 1001, South Cottonwood Street, North Platte, Lincoln County, Nebraska, 69101, United States

    NORTH PLATTE, NE 691016138

    Phone: (308) 532-5480

    Fax: (308) 532-5480

    Mailing address matches the actual address.

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: 2010-10-13

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
I20101013000587IPhysical Therapist In Private PracticeNETBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,16245$0
97530Therapy procedure using functional activities54742$0
97161Evaluation for physical therapy, typically 20 minutes4538$0
View full utilization report →

Insurance plans in this area (ZIP 69101)

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Provider's Procedures

MR. JON M WIESELER (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYNE97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes82255

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: 5597957266View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE

Reviews

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Frequently asked questions

What NPI should I save for MR. JON M WIESELER (PT)?
Save NPI 1295890804 if you need a stable reference for MR. JON M WIESELER (PT).
Is MR. JON M WIESELER (PT) active in the national directory?
MR. JON M WIESELER (PT)'s public NPI profile is in an active state.
Does MR. JON M WIESELER (PT) list a primary specialty?
If you are matching referrals, note Physical Therapist for MR. JON M WIESELER (PT). Clinical services aligned with this taxonomy classification.
Does MR. JON M WIESELER (PT) practice in Nebraska?
You will see North Platte, Nebraska on file for MR. JON M WIESELER (PT) alongside any extra practice locations.
Is MR. JON M WIESELER (PT) a real provider?
This page reflects official NPPES data for NPI 1295890804. Always confirm identity and privileges with the practice and licensing boards.

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