Amber Leslie Wisniewski, NNP-BC in Traverse City, MI

Amber Leslie Wisniewski, NNP-BC is a medicare enrolled "Nurse Practitioner - Neonatal" in Traverse City, Michigan. Her current practice location is 1105 Sixth St, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 935-6250.

Amber Leslie Wisniewski is licensed to practice in Michigan (license number 4704252505) 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 1952602856.

Contact Information

	Amber Leslie Wisniewski, NNP-BC
	1105 Sixth St, Traverse City, MI 49684-2345
	(231) 935-6250
	Not Available

Map and Direction

Provider's Profile

Full Name	Amber Leslie Wisniewski
Gender	Female
Speciality	Nurse Practitioner - Neonatal
Location	1105 Sixth St, Traverse City, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952602856
Provider Enumeration Date: 11/09/2010
Last Update Date: 06/02/2025

Medicare PECOS Information:

PECOS PAC ID: 4486942059
Enrollment ID: I20161013002266

Medical Identifiers

Medical identifiers for Amber Leslie Wisniewski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952602856	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0000X	Nurse Practitioner - Neonatal	AP7771 (Arizona)	Secondary
363LN0000X	Nurse Practitioner - Neonatal	4704252505 (Michigan)	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. Amber Leslie Wisniewski allows following entities to bill medicare on her behalf.

Entity Name	Munson Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904

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. Amber Leslie Wisniewski 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
Amber Leslie Wisniewski, NNP-BC 324 W Tenth St, Traverse City, MI 49684-3133 Ph: (419) 277-2963	Amber Leslie Wisniewski, NNP-BC 1105 Sixth St, Traverse City, MI 49684-2345 Ph: (231) 935-6250

Reviews and Comments

Nurse Practitioner Nurses in Traverse City, MI

Dr. Ariel Marie Ennis, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-3250
Harriet Sue Barner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Pavillions Cir, Traverse City, MI 49684 Phone: 231-932-3000 Fax: 231-932-3801
Ms. Christine Marie Sykes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10767 E Traverse Hwy, Traverse City, MI 49684 Phone: 231-947-1112
Ms. Karri G Hagan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 Business Park Dr Ste A, Traverse City, MI 49686 Phone: 231-421-6921 Fax: 231-421-7852
Matthew Nathan Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1104 Cass St, Traverse City, MI 49684 Phone: 231-941-1155 Fax: 231-259-1005
Carol Jean Sodman, RNC WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1135 E 8th St, Traverse City, MI 49686 Phone: 231-929-1844 Fax: 231-949-2084
Laura A. Schmidt, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 921 W Front St, Traverse City, MI 49684 Phone: 231-995-3657

Amber Leslie Wisniewski, NNP-BC - Medicare Nurse Practitioner in Traverse City, MI