JOHN DAVID WISE PA
NPI 1093739724
Physician Assistant in Green Bay, WI
About John David Wise Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN DAVID WISE PA (NPI 1093739724) is an individual physician assistant in Green Bay, Wisconsin, licensed in Wisconsin (941) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Gurnee, and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
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
John David Wise Pa 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54313 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Wise's NPI number?
The NPI number for John Wise is 1093739724. It was assigned to this individual provider in the NPPES registry on July 26, 2006.
Where is John Wise located?
John Wise practices at 2793 Lineville Rd, Green Bay, WI 54313. The listed phone number is (920) 496-4700.
What is John Wise's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is John Wise enrolled in Medicare?
Yes. John Wise 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.
What insurance does John Wise accept?
Health plans from CareSource (Common Ground Healthcare) list John Wise as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Wise was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# John David Wise, PA · NPI 1093739724
Physician Assistant physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since July 26, 2006.
## Identity
- **NPI:** 1093739724 (Entity type: Individual)
- **Enumerated:** July 26, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 941 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2793 LINEVILLE RD, Green Bay, WI 54313-7152
- **Phone:** (920) 496-4700 · **Fax:** (920) 496-4705
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** April 25, 2024
- **Other identifiers:** Medicaid 42989000 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1093739724) · Data from the CMS NPPES public registry.