ANDREA E WISMANN (M.D.) – Geriatric Medicine (Family Medicine) Physician, NPI 1073756045
Geriatric Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
31 GERIATRIC MEDICINE in OK
Provider Addresses for ANDREA E WISMANN (M.D.)
102 WOODMONT BLVD STE 600
NASHVILLE, TN 372055250
Phone: (888) 987-1151
Type: Mailing
6951 SE 15TH ST
MIDWEST CITY, OK 731102748
Phone: (405) 233-0450
Fax: (405) 984-4407
Type: Location
373 E 10th Ave
Springfield, CO 810731622
Phone: (719) 523-6628
Fax: (719) 523-4513
Type: Location
1122 NE 13th St # 1200
Oklahoma City, OK 731171039
Phone: (405) 271-8558
Fax: (405) 271-3887
Type: Location
Southeast Colorado Hospital, 373, East 10th Avenue, Springfield, Baca County, Colorado, 81073, United States
SPRINGFIELD, CO 81073
Phone: (719) 523-6628
Fax: (719) 523-4513
Type: Mailing
1122 NE 13TH ST # 1200
OKLAHOMA CITY, OK 731171039
Phone: (405) 271-8558
Fax: (405) 271-3887
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $128.
Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.
Last reported payment date: 2024-09-13 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($113).
Total Amount
$128
General + Research + Ownership
Payments
2
Total payment records
General Amount
$128
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ACADIA Pharmaceuticals Inc | $113 |
| Genmab U.S., Inc. | $14 |
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: 2023-12-22
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 |
|---|---|---|---|---|
| I20231222001323 | I | Geriatric Medicine | OK | 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 37205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OK | |
| O P H T H A L M O L O G Y | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| R H E U M A T O L O G Y | OK | |
| Nurse Practitioner | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Family Practice, Hospitalist | OK | |
| Medical Oncology | RI | |
| Clinical Social Worker | OK |
Reviews
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