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JULIE LYNN WISHAM PA
NPI 1083397897
Physician Assistant in Jacksonville, FL

Active since August 09, 2023PECOS Enrolled
7807 BAYMEADOWS RD E STE 303, JACKSONVILLE, FL 32256(904) 204-6585 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2023, Aug 9, 2023 (2 updates tracked since 2023).

About Julie Lynn Wisham Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIE LYNN WISHAM PA (NPI 1083397897) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (1083397897) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083397897
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJULIE LYNN WISHAMCredential: PA
Location Address7807 BAYMEADOWS RD E STE 303Jacksonville, FL 32256-9667
Mailing Address11175 Parkside Preserve WayJacksonville, FL 32257-1562 · (952) 913-7237
Phone(904) 204-6585
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 9, 2023
Last NPPES UpdateFebruary 13, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
✔ NPI 1083397897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · 1083397897
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7807 BAYMEADOWS RD E STE 303, Jacksonville, FL 32256
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Secondary Practice Location 1

Location 111175 Parkside Preserve WayJacksonville, FL 32257-1562 · Phone (952) 913-7237

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julie Lynn Wisham Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709233604
PECOS Enrollment IDI20231115001066
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLORIDA SEIZURE DOC PLLC
Clinic/Center (Multi-Specialty)
7807 BAYMEADOWS RD E STE 303
JACKSONVILLE, FL 32256
Duval County (904) 226-7229
OMAR JISHI MOORE M.D.
Psychiatry & Neurology (Clinical Neurophysiology)
7807 BAYMEADOWS RD E STE 303
JACKSONVILLE, FL 32256
Duval County (904) 204-6585
NEURODOC INC
Psychiatry & Neurology (Clinical Neurophysiology)
7807 BAYMEADOWS RD E STE 303
JACKSONVILLE, FL 32256
Duval County (904) 204-6585

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julie Wisham's NPI number?

The NPI number for Julie Wisham is 1083397897. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Where is Julie Wisham located?

Julie Wisham practices at 7807 Baymeadows Rd E Ste 303, Jacksonville, FL 32256. The listed phone number is (904) 204-6585.

What is Julie Wisham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Julie Wisham enrolled in Medicare?

Yes. Julie Wisham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Julie Wisham was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.