Amanda Wisian, LPC, PMHNP - Medicare Nurse Practitioner in Wheat Ridge, CO

Amanda Wisian, LPC, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Wheat Ridge, Colorado. Her current practice location is 10160 W 50th Ave Unit 4, Wheat Ridge, Colorado. You can reach out to her office (for appointments etc.) via phone at (720) 669-3470.

Amanda Wisian is licensed to practice in Colorado (license number 0998730) 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 1306190202.

Contact Information

Amanda Wisian, LPC, PMHNP
10160 W 50th Ave Unit 4,
Wheat Ridge, CO 80033-2339
(720) 669-3470
Not Available



Physician's Profile

Full NameAmanda Wisian
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location10160 W 50th Ave Unit 4, Wheat Ridge, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306190202
  • Provider Enumeration Date: 10/31/2012
  • Last Update Date: 01/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3173974904
  • Enrollment ID: I20240105002793

Medical Identifiers

Medical identifiers for Amanda Wisian such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306190202NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry RN.1659896 (Colorado)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 0011133 (Colorado)Secondary
390200000XStudent In An Organized Health Care Education/training Program 1659896 (Colorado)Secondary
390200000XStudent In An Organized Health Care Education/training Program RN.1659896 (Colorado)Secondary
101YP2500XCounselor - Professional 7142009-6004 (Utah)Secondary
101YP2500XCounselor - Professional LH 60290236 (Washington)Secondary
101YP2500XCounselor - Professional 0011133 (Colorado)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 0998730 (Colorado)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. Amanda Wisian allows following entities to bill medicare on her behalf.
Entity NameForte Health And Wellness Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447888797
PECOS PAC ID: 1456782697
Enrollment ID: O20200504001029

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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. Amanda Wisian 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
Amanda Wisian, LPC, PMHNP
8181 E Tufts Ave Ste 560,
Denver, CO 80237-2559

Ph: () -
Amanda Wisian, LPC, PMHNP
10160 W 50th Ave Unit 4,
Wheat Ridge, CO 80033-2339

Ph: (720) 669-3470

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Chronic obstructive pulmonary disease patients using beta-agonist inhalers are at risk

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