NPI age
14 years
Enumerated 2011-10-24
● Active
Type 1 · Individual
Jamie R Wiseman, MD
Wiseman is 1 of 6 family medicine providers in Comfort and 1 of 15966 in Texas.
Primary specialty
Family Medicine
Plus 4 subspecialties
Licensed in
TX, AK, WI
3 states
Status
Active
No deactivations on record
Last NPPES update
2019-06-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15966 active family medicine providers in Texas.
NPI age
14 years
↓ 3 yr below median (17 yr)
State licenses
3 states
Top 91% — 8% of peers are multi-state
Subspecialties
1
In the 26% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-10Enumerated in NPPES
2011
2026
Where they practice
Practice location
10012 N Creek Rd
Comfort, TX 780133700
Mailing address
10012 N Creek Rd
Comfort, TX 780133700
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (WI) | 1023394970 | BCBCWI |
| 05 (WI) | 1023394970 | |
| 05 (IL) | 158697344 1 | |
| 05 (AK) | 1622061 | |
| 01 (WI) | HITCHJAM | MERCYCARE INSURANCE |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.