| Mrs Windy Jo Wisener, CRNP | |
|
4433 Black Rd, Blountsville, AL 35031-5942 | |
| (205) 456-0962 | |
| Not Available |
| Full Name | Mrs Windy Jo Wisener |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 4433 Black Rd, Blountsville, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619235009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1-108981 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cullman Regional Medical Center | Cullman, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Russellville Hospital Inc. | 3476878489 | 70 |
| Protectsis, Llc | 0345761011 | 3 |
| Eastern Hospital Medicine | 8325044597 | 26 |
| Entity Name | Eastern Hospital Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104859123 PECOS PAC ID: 8325044597 Enrollment ID: O20061011000241 |
| Entity Name | Advantage Family Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023447943 PECOS PAC ID: 7618103748 Enrollment ID: O20131120001477 |
| Entity Name | Russellville Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780232314 PECOS PAC ID: 3476878489 Enrollment ID: O20191018002761 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210224000756 |
| Entity Name | Dermaccel |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992582241 PECOS PAC ID: 7618323130 Enrollment ID: O20231019001715 |
| Entity Name | Medical Director Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20250319000502 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Windy Jo Wisener, CRNP Po Box 339, Cullman, AL 35056-0339 Ph: (256) 739-9593 | Mrs Windy Jo Wisener, CRNP 4433 Black Rd, Blountsville, AL 35031-5942 Ph: (205) 456-0962 |