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

John Richard Wisniewski Jr.

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497605901

John Richard Wisniewski Jr. is a Nurse Practitioner in Lewiston, Idaho. Qualified in 2025, 1 year ago. Practices with Demean Healthcare Solutions LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2026

Practice location Address checks out

1331 G St
Lewiston, ID 83501-1964
Phone: (208) 743-9616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (FL)

Record details

NPI number1497605901
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 3, 2026
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Demean Healthcare Solutions Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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