SUZETTE REINE WISDOM PA-C
NPI 1093299075
Physician Assistant - Medical in Yuma, AZ

Q: What is Suzette Wisdom's NPI number?

The NPI number for Suzette Wisdom is 1093299075. It was assigned to this individual provider in the NPPES registry on September 17, 2018.

Q: What is Suzette Wisdom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Suzette Wisdom was last updated on July 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 17, 2018PECOS EnrolledAccepts Medicare Assignment

2775 S 8TH AVE, YUMA, AZ 85364(928) 341-0700 Get Directions Write a Review

NPPES record last updated: July 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2025, Aug 26, 2022, Oct 14, 2020 and 2 more (5 updates tracked since 2018).

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About Suzette Reine Wisdom Pa-c NPPES

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

SUZETTE REINE WISDOM PA-C (NPI 1093299075) is an individual medical provider in Yuma, Arizona, licensed in Arizona (7203) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093299075

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSUZETTE REINE WISDOMCredential: PA-C

Location Address2775 S 8TH AVEYuma, AZ 85364-7110

Mailing Address2775 S 8th AveYuma, AZ 85364-7110 · (928) 341-0700

Phone(928) 341-0700

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 17, 2018

Last NPPES UpdateJuly 13, 20255 updates tracked since enumeration

NPPES CertifiedJuly 13, 2025

✔ NPI 1093299075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in AZ · 7203

Also ListedPhysician AssistantTaxonomy 363A00000X · License 0110006948 (VA), 333188 (LA)

2775 S 8TH AVE, Yuma, AZ 85364

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Suzette Reine Wisdom Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779821723

PECOS Enrollment IDI20190218000144

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers11 claims20 services$5.77 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 16

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

ASHLEY VAN WHY PT, DPT

Physical Therapist

2775 S 8TH AVE
YUMA, AZ 85364

Yuma County (928) 304-6651

MRS. AILEMA SALAZAR FNP-BC

Nurse Practitioner

2775 S 8TH AVE
YUMA, AZ 85364

Yuma County (928) 341-0700

DAENA ZAMORA NP

Nurse Practitioner (Family)

2775 S 8TH AVE
YUMA, AZ 85364

Yuma County (928) 341-0700

MANDY MORENO FNP

Nurse Practitioner (Family)

2775 S 8TH AVE
YUMA, AZ 85364

Yuma County (928) 341-0700

DR. ROBERT FRANCIS SMYTHE M.D.

Internal Medicine

2775 S 8TH AVE
YUMA, AZ 85364

Yuma County (928) 341-0700

ON TRAK PHYSICAL THERAPY PLLC

Physical Therapist

2775 S 8TH AVE
YUMA, AZ 85364

Yuma County (928) 304-6651

JOSEPH ELEID MD

Internal Medicine

2775 S 8TH AVE
YUMA, AZ 85364

Yuma County (928) 341-0700

KATHERINE MARIE GOMPERT DNP, FNP

Nurse Practitioner (Family)

2775 S 8TH AVE
YUMA, AZ 85364

Yuma County (928) 341-7000

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 Suzette Wisdom's NPI number?

The NPI number for Suzette Wisdom is 1093299075. It was assigned to this individual provider in the NPPES registry on September 17, 2018.

Where is Suzette Wisdom located?

Suzette Wisdom practices at 2775 S 8th Ave, Yuma, AZ 85364. The listed phone number is (928) 341-0700.

What is Suzette Wisdom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Suzette Wisdom enrolled in Medicare?

Yes. Suzette Wisdom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Suzette Wisdom was last updated on July 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.