Mrs Miranda Wisniowski, CPNP-AC in Nashville, TN

Mrs Miranda Wisniowski, CPNP-AC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Nashville, Tennessee. Her current practice location is 310 25th Ave N, Ste. 204, Nashville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 329-0195.

Mrs Miranda Wisniowski is licensed to practice in Tennessee (license number 20577) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366740763.

Contact Information

	Mrs Miranda Wisniowski, CPNP-AC
	310 25th Ave N, Ste. 204, Nashville, TN 37203-1515
	(615) 329-0195
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Miranda Wisniowski
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	310 25th Ave N, Nashville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366740763
Provider Enumeration Date: 03/09/2011
Last Update Date: 11/05/2015

Medicare PECOS Information:

PECOS PAC ID: 5395039176
Enrollment ID: I20160803000122

Medical Identifiers

Medical identifiers for Mrs Miranda Wisniowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366740763	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	168998 (Tennessee)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	20577 (Tennessee)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Miranda Wisniowski allows following entities to bill medicare on her behalf.

Entity Name	Pediatrix Medical Group Of Tennessee, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497852107 PECOS PAC ID: 2668538265 Enrollment ID: O20090305000758

Entity Name	Pediatrix Medical Group Ambulatory Services Of Tn, Pllc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063110880 PECOS PAC ID: 2264891373 Enrollment ID: O20230707002408

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Miranda Wisniowski is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Miranda Wisniowski, CPNP-AC 310 25th Ave N, Ste. 204, Nashville, TN 37203-1515 Ph: () -	Mrs Miranda Wisniowski, CPNP-AC 310 25th Ave N, Ste. 204, Nashville, TN 37203-1515 Ph: (615) 329-0195

Reviews and Comments

Nurse Practitioner Nurses in Nashville, TN

Rosie K Blakemore, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Tennessee Prison For Women, 3881 Stewarts Lane, Nashville, TN 37243 Phone: 615-741-1255 Fax: 615-726-2181
Daniel Barrett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3601 Tvc, Nashville, TN 37232 Phone: 615-322-3000
Jacquelyn L. Garner, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000
Ms. Rose B Vick, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000
Aaron Wesley Scott, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-936-2000
Gold Nwokochah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2805 Foster Ave Ste 207, Nashville, TN 37210 Phone: 206-554-1900
Ms. Leslie Elizabeth Newman, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-936-2000

Mrs Miranda Wisniowski, CPNP-AC - Medicare Nurse Practitioner in Nashville, TN