Individual ProviderSummer WisemanNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address926 Main St, Nashville, TN 37206-3614(615) 679-9087PECOS EnrollmentBased on the most recent information from CMS, provider Summer Wiseman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1821452285Provider TypeIndividualFull NameWiseman, SummerCredentialNPGenderFemaleSole ProprietorNoEnumeration Date4/11/2016Last Updated7/8/2025Contact InformationPractice LocationPractice Address926 Main St, Nashville, TN 37206-3614Phone(615) 679-9087FaxUnlisted FaxMailing LocationMailing AddressPO Box 248, Townsend, TN 37882-0248PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense25303TennesseeCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5008666North Carolina