DR. DAVID CHARLES WIESNER – Psychologist, NPI 1265410286
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
668 CLINICAL PSYCHOLOGIST in NC
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Provider Addresses for DR. DAVID CHARLES WIESNER
8290, 165th Avenue Northeast, Redmond, King County, Washington, 98052, United States
REDMOND, WA 980523948
Phone: (425) 869-2644
Fax: (425) 867-0930
Type: Mailing
2610, Wycliff Road, Meredith Townes, Raleigh, Wake County, North Carolina, 27607, United States
SUITE 103
RALEIGH, NC 276073073
Phone: (919) 782-4060
Fax: (919) 782-0906
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2018-03-16
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 |
|---|---|---|---|---|
| I20180316000120 | I | Clinical Psychologist | WA | 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 98052)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | WA | |
| Mental Health Counselor | WA | |
| Clinical Psychologist | WA | |
| Mental Health Counselor | WA | |
| Mental Health Counselor | WA | |
| Marriage And Family Therapist | WA | |
| Mental Health Counselor | WA | |
| Mental Health Counselor | WA | |
| Mental Health Counselor | WA | |
| Mental Health Counselor | WA |
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