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

Kelly Jean Wisniewski, AGNP

Individual provider Adult Health Nurse Practitioner · NPI 1467254425

Kelly Jean Wisniewski, AGNP is a Nurse Practitioner in Roslyn, New York. Qualified in 2024, 2 years ago. Practices with Chs Physician Partners PC, a 747-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

See every abbreviation used in this directory →

Practice location Address checks out

100 Port Washinton Blvd
Roslyn, NY 11576
Phone: (516) 390-9640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 312048 (NY)

Record details

NPI number1467254425
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedMarch 27, 2025
Last updated in NPPESMarch 27, 2025
Certification dateMarch 25, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Chs Physician Partners Pc — 747 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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