Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cheryl Wisniewski

Individual provider Nurse Practitioner · NPI 1962833889

Cheryl Wisniewski is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2013, 13 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
13
Licensed in
MA
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 726-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN284036 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence NP284036 (MA)

Record details

NPI number1962833889
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 3, 2013
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022
Mailing address135 Granite Ave Apt 49, Dorchester, MA 02124-5466

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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