STEPHANIE A WISHNEV (MD) – Colon & Rectal Surgery Physician, NPI 1043219686

STEPHANIE A WISHNEV (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in COLORECTAL SURGERY (PROCTOLOGY). They hold the professional credentials MD. They hold a License No. 8168 (NV). The NPI Number for STEPHANIE A WISHNEV (MD) is 1043219686

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE A WISHNEV (MD)
NPI
1043219686
Phone
(702) 739-6467
Address
6020 S. JONES BLVD
Enumeration Date
15 July 2005
Last Update Date
6 July 2023

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
7027396467
Graduation Year
1986 (40 years ago)
PAC ID
1153356571
Group Practice PAC ID
5991720195
Professional Enrollment ID
I20051004000686
Address ID
NV891182619LA6020XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

18 COLORECTAL SURGERY (PROCTOLOGY) in NV

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Provider Addresses for STEPHANIE A WISHNEV (MD)

  • South Jones Boulevard, Charleston Heights, Las Vegas, Clark County, Nevada, 89139, United States

    LAS VEGAS, NV 891182310

    Phone: (702) 739-6467

    Fax: (702) 733-1689

    Type: Location

  • PO BOX 50607

    HENDERSON, NV 890160607

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2023-07-11 • Largest payer in this snapshot: ImmunoGen, Inc. ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ImmunoGen, Inc.$26
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: 2005-10-04

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
I20051004000686IColorectal Surgery (Proctology)NVTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6354$0
99203New patient office or other outpatient visit, 30-44 minutes6262$0
99212Established patient office or other outpatient visit, 10-19 minutes3737$0
46600Diagnostic exam of anus using an endoscope2625$0
46221Removal of external hemorrhoids by rubber banding2414$0
View full utilization report →

Insurance plans in this area (ZIP 89118)

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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: 5991720195View full group profile
NameSpecialtyState
Colorectal Surgery (Proctology), General SurgeryNV

Reviews

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Frequently asked questions

Where can patients find STEPHANIE A WISHNEV (MD)'s NPI?
You can confirm STEPHANIE A WISHNEV (MD) with NPI 1043219686; it appears in the national provider directory.
Is STEPHANIE A WISHNEV (MD) currently active in the NPI registry?
CMS-published data lists STEPHANIE A WISHNEV (MD) as an active registrant.
What kind of provider is STEPHANIE A WISHNEV (MD)?
The page reflects Colon & Rectal Surgery Physician for STEPHANIE A WISHNEV (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for STEPHANIE A WISHNEV (MD)?
The page summarizes Las Vegas, Nevada for STEPHANIE A WISHNEV (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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