WILLIAM EISENMAN – Family Nurse Practitioner, NPI 1740793793
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
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Provider Addresses for WILLIAM EISENMAN
2725 STATE ROUTE 12
BURGOON, OH 434079738
Phone: (419) 619-5429
Type: Mailing
455, West 4th Street, Fostoria, Hancock County, Ohio, 44830, United States
FOSTORIA, OH 44830
Phone: (419) 436-6680
Fax: (419) 436-6681
Type: Location
1400 E 2ND ST
DEFIANCE, OH 435122440
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $624.
Total Amount is formed as General ($624) + Research ($0) + Ownership ($0) = $624.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: ABBVIE INC. ($146).
Total Amount
$624
General + Research + Ownership
Payments
38
Total payment records
General Amount
$624
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $146 |
| Otsuka America Pharmaceutical, Inc. | $60 |
| Novo Nordisk Inc | $45 |
| Dexcom, Inc. | $45 |
| Exact Sciences Corporation | $42 |
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: 2018-02-08
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 |
|---|---|---|---|---|
| I20180208000926 | I | Nurse Practitioner | OH | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 183 | 119 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 171 | 149 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 33 | 33 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 19 | 19 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 43407)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | OH | |
| Registered Dietitian Or Nutrition Professional | OH | |
| Family Practice | OH | |
| Orthopedic Surgery | OH | |
| Family Practice | OH | |
| Internal Medicine | OH | |
| Certified Nurse Midwife (Cnm) | OH | |
| Nurse Practitioner | OH | |
| Cardiovascular Disease (Cardiology), Internal Medicine | OH | |
| Clinical Social Worker | OH |
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