DR. JACOB ANTHONY WIESEN M.D. NPI 1831317346

NPI Information

  • NPI: 1831317346
  • Provider Name: DR. JACOB ANTHONY WIESEN, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2540 N HEALTHY WAY
    FREMONT, NE
    ZIP 68025
  • Phone: (402) 721-6333

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NPI Details

DR. Jacob Anthony Wiesen, M.D. is a general practice in Fremont, NE with 20 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Jacob Anthony Wiesen, M.D. NPI is 1831317346. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:2006

The provider's business location address is:

2540 N HEALTHY WAY
FREMONT, NE
ZIP 68025-315
Phone: (402) 721-6333

The NPI 1831317346 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Removal of gallbladder using an endoscope (HCPCS:47562)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Colonoscopy (HCPCS:NAN13)
  • Hernia repair - groin (open) (HCPCS:NAN19)
  • Hernia repair (minimally invasive) (HCPCS:NAN16)
  • Mastectomy (HCPCS:NAN04)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 4/22/2007 and was last updated on 1/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice5413NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1097664MEDICARE UPINNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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