Carolyn Marie Wisco, APRN, FNP-C
Nurse Practitioner, Family in Austin, TX. Individual provider (NPI-1).
NPI number1982247094
StatusActive
Last updated in NPPESOct 21, 2019
Details
- NPI
- 1982247094
- Entity type
- Individual (NPI-1)
- Name
- Carolyn Marie Wisco
- Credential
- APRN, FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2019
- Last updated
- Oct 21, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP142642 | TX | Yes |
| 163W00000X | Registered Nurse | 809564 | TX |
Practice location
3001 S Congress Ave Ste 100Austin, TX 78704-6489
Phone 512-448-8686 · Fax 512-464-8842
Mailing address
3003 Locke LnAustin, TX 78704-6135
Phone 608-792-0359
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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