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

Active since January 21, 2014PECOS EnrolledAccepts Medicare Assignment
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: July 19, 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, is affiliated with Doctors Hospital, 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
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
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

Secondary Practice Location 1

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

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

Mrs. Mary Elizabeth Wise Np-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 ID3577787829
PECOS Enrollment IDI20140606001858
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 2024 & 2026 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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Doctors Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110177
Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County
Emergency services Birthing friendly

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

The NPI number assigned to this healthcare provider is 1184047565, enumerated as an "individual" on January 21, 2014.

The provider is located at 496 FAIRFIELD CT EVANS, GA 30809 and the phone number is (229) 292-9248.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.

Mary Wise is affiliated with: DOCTORS HOSPITAL.