Wiseman Family Practice Pllc - Medicare Primary Care in Cedar Park, TX

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Wiseman Family Practice Pllc is a medicare enrolled primary clinic (Family Medicine) in Cedar Park, Texas. The current practice location for Wiseman Family Practice Pllc is 2500 S Lakeline Blvd, Suite 100, Cedar Park, Texas. For appointments, you can reach them via phone at (512) 345-8970. The mailing address for Wiseman Family Practice Pllc is 2500 S Lakeline Blvd, Suite 100, Cedar Park, Texas and phone number is (512) 345-8970.

Wiseman Family Practice Pllc is licensed to practice in Texas (license number M9746). The clinic also participates in the medicare program and its NPI number is 1598195042. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (512) 345-8970.

Contact Information

Wiseman Family Practice Pllc
2500 S Lakeline Blvd
Suite 100
Cedar Park
TX 78613-2967
(512) 345-8970
(512) 345-6689

Map and Direction


Primary Care Clinic Profile

Full NameWiseman Family Practice Pllc
SpecialityFamily Medicine
Location2500 S Lakeline Blvd, Cedar Park, Texas
Authorized Official Name and PositionAlicia Michel (PRACTICE MANAGER)
Authorized Official Contact5123458970
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wiseman Family Practice Pllc
2500 S Lakeline Blvd
Suite 100
Cedar Park
TX 78613-2967

Ph: (512) 345-8970		Wiseman Family Practice Pllc
2500 S Lakeline Blvd
Suite 100
Cedar Park
TX 78613-2967

Ph: (512) 345-8970

NPI Details:

NPI Number1598195042
Provider Enumeration Date11/20/2013
Last Update Date07/28/2025

Medicare PECOS Information:

Medicare PECOS PAC ID9739491564
Medicare Enrollment IDO20150707002742

Medical Identifiers

Medical identifiers for Wiseman Family Practice Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598195042NPI-NPPES
1114188497OtherNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine M9746 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Wiseman Family Practice Pllc acts as a billing entity for following providers:
Provider NameRichard J Wiseman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497800304
PECOS PAC ID: 9739283227
Enrollment ID: I20070322000122
Provider NameJeremy D Wiseman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114188497
PECOS PAC ID: 7810180171
Enrollment ID: I20101019000659
Provider NameKerry A Ramon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801203575
PECOS PAC ID: 6204158132
Enrollment ID: I20141204001028
Provider NameJustine D Elling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730448085
PECOS PAC ID: 9436452869
Enrollment ID: I20160119002363
Provider NameTammy A Whitehead
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780193524
PECOS PAC ID: 6800157819
Enrollment ID: I20180307000852
Provider NameJuanita M Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144689969
PECOS PAC ID: 5496051575
Enrollment ID: I20181004001168
Provider NameAudrey L Wand
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790275949
PECOS PAC ID: 0244582674
Enrollment ID: I20181011002042
Provider NameHina N Ali
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184115784
PECOS PAC ID: 8628322187
Enrollment ID: I20181120000089
Provider NameJamie Aileen Garza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558863233
PECOS PAC ID: 9032457098
Enrollment ID: I20190218000517
Provider NameDavid Ray Knight
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891288965
PECOS PAC ID: 7810236619
Enrollment ID: I20190221001959
Provider NameSherry Kamali Fulmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427512367
PECOS PAC ID: 4688909302
Enrollment ID: I20190717001163
Provider NameSellma Vllasi-white
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811277056
PECOS PAC ID: 4587993118
Enrollment ID: I20190907000125
Provider NameGabrielle L Teumer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083125777
PECOS PAC ID: 3375876063
Enrollment ID: I20201113000040
Provider NameAngelique L Bishop
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104415454
PECOS PAC ID: 1254746084
Enrollment ID: I20210209000834
Provider NameKristen Adrianna Bernal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770131369
PECOS PAC ID: 7618376427
Enrollment ID: I20210527002708
Provider NameStephanie Marian Tabone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376128116
PECOS PAC ID: 2062818826
Enrollment ID: I20210902002809
Provider NameLaura Facchini
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437722725
PECOS PAC ID: 0840682662
Enrollment ID: I20220127002087
Provider NameNarine Milter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760063523
PECOS PAC ID: 7113174400
Enrollment ID: I20220302002212
Provider NameCynthia Fafel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679207435
PECOS PAC ID: 4688056039
Enrollment ID: I20220801002554
Provider NameEthan Preston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982191169
PECOS PAC ID: 0143585869
Enrollment ID: I20220920000113
Provider NameMary Lynn Harrison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528713765
PECOS PAC ID: 6901281369
Enrollment ID: I20220921001145
Provider NameKimberly Marie Labinsky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376150052
PECOS PAC ID: 3577919455
Enrollment ID: I20231030000234
Provider NameJessica Louise Somerville
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194402362
PECOS PAC ID: 7517314966
Enrollment ID: I20231107002935
Provider NameEmily Francis Lee Pulikal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811582885
PECOS PAC ID: 5597112631
Enrollment ID: I20231109003855
Provider NameBillie Nanette Corwin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881446631
PECOS PAC ID: 4385085364
Enrollment ID: I20240508000865
Provider NameAshley Nicole Rebaza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306674858
PECOS PAC ID: 5799214904
Enrollment ID: I20250131002354

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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.