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MRS. MARY ELIZABETH WISE NP-C
NPI 1184047565
Nurse Practitioner in Evans, GA

Active since January 21, 2014PECOS Enrolled
496 FAIRFIELD CT, EVANS, GA 30809(229) 292-9248 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 4, 2022, Feb 1, 2021, Jan 23, 2016 (3 updates tracked since 2016).

About Mrs. Mary Elizabeth Wise Np-c NPPES

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

MRS. MARY ELIZABETH WISE NP-C (NPI 1184047565) is an individual nurse practitioner in Evans, Georgia, licensed in Georgia (RN213344) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1184047565
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MARY ELIZABETH WISECredential: NP-C
Location Address496 FAIRFIELD CTEvans, GA 30809-3641
Mailing Address3647 J Dewey Gray Cir Ste 200Augusta, GA 30909-2205 · (706) 504-9712
Phone(229) 292-9248
Sole ProprietorNo
Enumeration DateJanuary 21, 2014
Last NPPES UpdateJanuary 4, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2021
✔ NPI 1184047565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN213344
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN213344 (GA)
496 FAIRFIELD CT, Evans, GA 30809
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Secondary Practice Location 1

Location 13647 J Dewey Gray Cir Ste 200Augusta, GA 30909-2205 · Phone (706) 504-9712

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Elizabeth Wise Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
25 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30809 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mary Wise's NPI number?

The NPI number for Mary Wise is 1184047565. It was assigned to this individual provider in the NPPES registry on January 21, 2014.

Where is Mary Wise located?

Mary Wise practices at 496 Fairfield Ct, Evans, GA 30809. The listed phone number is (229) 292-9248.

What is Mary Wise's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Wise enrolled in Medicare?

Yes. Mary Wise is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Wise was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.