Emily J Wiseman, FNP - Medicare Nurse Practitioner in Licking, MO

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Emily J Wiseman, FNP is a medicare enrolled "Nurse Practitioner - Family" in Licking, Missouri. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pcrmc Medical Group Inc, Phelps County Regional Medical Center and her current practice location is 139 W Highway 32, Licking, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 674-3011.

Emily J Wiseman is licensed to practice in Missouri (license number 2016041028) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700327897.

Contact Information

Emily J Wiseman, FNP
139 W Highway 32,
Licking, MO 65542-9898
(573) 674-3011
(573) 674-4765

Map and Direction




Provider's Profile

Full NameEmily J Wiseman
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location139 W Highway 32, Licking, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Emily J Wiseman graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1700327897
  • Provider Enumeration Date: 03/09/2017
  • Last Update Date: 02/11/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5092092197
  • Enrollment ID: I20170427000425

Medical Identifiers

Medical identifiers for Emily J Wiseman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700327897NPI-NPPES
26D0679044OtherMOCLIA
420041775MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2016041028 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Phelps County Regional Medical CenterRolla, MOHospital
Salem Memorial District HospitalSalem, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pcrmc Medical Group Inc155745406399
Phelps County Regional Medical Center286039115894

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. Emily J Wiseman allows following entities to bill medicare on her behalf.
Entity NamePhelps County Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891766051
PECOS PAC ID: 2860391158
Enrollment ID: O20040106000405
Entity NamePcrmc Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124237227
PECOS PAC ID: 1557454063
Enrollment ID: O20070829000437

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. Emily J Wiseman 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 AddressPractice Location Address
Emily J Wiseman, FNP
139 W Highway 32,
Licking, MO 65542-9898

Ph: (573) 674-3011		Emily J Wiseman, FNP
139 W Highway 32,
Licking, MO 65542-9898

Ph: (573) 674-3011

Reviews and Comments


Nurse Practitioner Nurses in Licking, MO

Marley Ann Stephan, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 255 W Highway 32, Licking, MO 65542
Phone: 573-674-4470    
Ms. Dianna Lavee Keeling, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 233 S Main St, Licking, MO 65542
Phone: 573-674-3011    Fax: 573-674-4765

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.