Stephanie Wismer, FNP-BC - Medicare Nurse Practitioner in Richwood, WV

  1. Home
  2. Nurse Practitioner
  3. WV
  4. Richwood
Stephanie Wismer, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Richwood, West Virginia. Her current practice location is 71 Avenue A, Richwood, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 846-2608.

Stephanie Wismer is licensed to practice in West Virginia (license number 118356) 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 1174389340.

Contact Information

Stephanie Wismer, FNP-BC
71 Avenue A,
Richwood, WV 26261-1204
(304) 846-2608
Not Available

Map and Direction




Provider's Profile

Full NameStephanie Wismer
GenderFemale
SpecialityNurse Practitioner - Family
Location71 Avenue A, Richwood, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174389340
  • Provider Enumeration Date: 02/26/2024
  • Last Update Date: 02/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5294270922
  • Enrollment ID: I20240717002172

Medical Identifiers

Medical identifiers for Stephanie Wismer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174389340NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 118356 (West Virginia)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. Stephanie Wismer allows following entities to bill medicare on her behalf.
Entity NameCamden On Gauley Medical Center Inc
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1558340414
PECOS PAC ID: 6002867850
Enrollment ID: O20050209000321
Entity NameCamden On Gauley Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861872541
PECOS PAC ID: 6002867850
Enrollment ID: O20160125000001
Entity NameCamden On Gauley Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174065916
PECOS PAC ID: 6002867850
Enrollment ID: O20170613000749
Entity NameCamden On Gauley Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427585157
PECOS PAC ID: 6002867850
Enrollment ID: O20171010003869
Entity NameCamden On Gauley Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811420250
PECOS PAC ID: 6002867850
Enrollment ID: O20180123000206
Entity NameCamden On Gauley Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700312618
PECOS PAC ID: 6002867850
Enrollment ID: O20180413002227
Entity NameCamden On Gauley Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508372228
PECOS PAC ID: 6002867850
Enrollment ID: O20190208001062
Entity NameCamden On Gauley Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669947222
PECOS PAC ID: 6002867850
Enrollment ID: O20200423002284
Entity NameCamden On Gauley Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215394648
PECOS PAC ID: 6002867850
Enrollment ID: O20200429000282
Entity NameCamden On Gauley Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801493499
PECOS PAC ID: 6002867850
Enrollment ID: O20230629001639
Entity NameCamden On Gauley Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639418361
PECOS PAC ID: 6002867850
Enrollment ID: O20240416001782
Entity NameCamden On Gauley Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245938513
PECOS PAC ID: 6002867850
Enrollment ID: O20240621000150

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. Stephanie Wismer 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
Stephanie Wismer, FNP-BC
3102 Leivasy Rd,
Nettie, WV 26681-4158

Ph: (304) 880-8836		Stephanie Wismer, FNP-BC
71 Avenue A,
Richwood, WV 26261-1204

Ph: (304) 846-2608

Reviews and Comments


Nurse Practitioner Nurses in Richwood, WV

Rebecca L Lamp, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 75 Avenue B, Richwood, WV 26261
Phone: 304-846-2573    Fax: 304-846-9562

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.