KATELYN WISNIESKI – Physician Assistant, NPI 1437842291

KATELYN WISNIESKI is a healthcare provider. based in Schuyler, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold a License No. 2929 (NE). The NPI Number for KATELYN WISNIESKI is 1437842291

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN WISNIESKI
NPI
1437842291
Phone
(402) 352-3745
Address
1721 COLFAX ST
Enumeration Date
30 May 2023
Last Update Date
30 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4023523745
Graduation Year
2023 (3 years ago)
PAC ID
5193182889
Group Practice PAC ID
6406765965
Professional Enrollment ID
I20230612002687
Address ID
NE686611400SC1721XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,397 PHYSICIAN ASSISTANT in NE

Provider Addresses for KATELYN WISNIESKI

  • 1721 COLFAX ST

    SCHUYLER, NE 686611400

    Phone: (402) 352-3745

    Fax: (402) 352-8750

    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)

CMS reports 5 Open Payments records for all available years, with a total value of $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: PFIZER INC. ($45).

Total Amount

$100

General + Research + Ownership

Payments

5

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-06-12

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
I20230612002687IPhysician AssistantNETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68661)

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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: 6406765965View full group profile
NameSpecialtyState
Family PracticeNE
Emergency MedicineNE
Nurse PractitionerNE
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)NE
Family PracticeNE
Nurse PractitionerNE
Family PracticeMN
Physician AssistantNE

Reviews

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Frequently asked questions

How is KATELYN WISNIESKI identified in CMS data?
CMS-hosted NPPES data lists KATELYN WISNIESKI with NPI 1437842291.
Can I rely on KATELYN WISNIESKI being an active provider?
As of the registry snapshot, KATELYN WISNIESKI is marked active.
What is KATELYN WISNIESKI's specialty?
The listing groups KATELYN WISNIESKI with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does KATELYN WISNIESKI list a practice location?
Patients near Schuyler, Nebraska may find KATELYN WISNIESKI in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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