MR. ROBERT R JR. WISNER (PA C) – Physician Assistant, NPI 1902876154
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
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Provider Addresses for MR. ROBERT R JR. WISNER (PA C)
PO BOX 607
GALION, OH 448330607
Phone: (419) 468-4220
Fax: (419) 468-8579
Type: Mailing
955, Bucyrus Road, Galion, Polk Township, Crawford County, Ohio, 44833, United States
GALION, OH 44833
Phone: (419) 468-4220
Fax: (419) 462-7019
Type: Location
700 N COLUMBUS ST
CRESTLINE, OH 448271455
Phone: (419) 468-0522
Type: Mailing
269 PORTLAND WAY S
GALION, OH 448332312
Phone: (419) 462-4560
Fax: (419) 462-4566
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 117 Open Payments records for all available years, with a total value of $2,000.
Total Amount is formed as General ($2,000) + Research ($0) + Ownership ($0) = $2,000.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($326).
Total Amount
$2,000
General + Research + Ownership
Payments
117
Total payment records
General Amount
$2,000
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $326 |
| Amgen Inc. | $212 |
| Novartis Pharmaceuticals Corporation | $190 |
| ABBVIE INC. | $172 |
| Lilly USA, LLC | $138 |
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: 2003-12-17
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 |
|---|---|---|---|---|
| I20031217000479 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44833)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine | OH | |
| Family Practice | OH | |
| Internal Medicine | OH | |
| Family Practice | OH | |
| Physician Assistant | OH | |
| Internal Medicine, Pediatric Medicine | OH | |
| - | OH |
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