MR. ROSS DAVIN WISE APRN
NPI 1194697284
Nurse Practitioner - Psychiatric/Mental Health in Fernandina Beach, FL

Q: What is Ross Wise's NPI number?

The NPI number for Ross Wise is 1194697284. It was assigned to this individual provider in the NPPES registry on September 19, 2025.

Q: What is Ross Wise's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Ross Wise was last updated on September 19, 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 19, 2025PECOS Enrolled

1896 S 14TH ST STE 6, FERNANDINA BEACH, FL 32034(904) 310-9652(904) 467-3143 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mr. Ross Davin Wise Aprn NPPES

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

MR. ROSS DAVIN WISE APRN (NPI 1194697284) is an individual psychiatric/mental health provider in Fernandina Beach, Florida, licensed in Florida (APRN11042360) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194697284

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. ROSS DAVIN WISECredential: APRN

Location Address1896 S 14TH ST STE 6Fernandina Beach, FL 32034-4416

Mailing Address523 Blue Daze StYulee, FL 32097-0087 · (904) 310-9652 · Fax (904) 467-3143

Phone(904) 310-9652

Fax(904) 467-3143

Sole ProprietorNo

Enumeration DateSeptember 19, 2025

NPPES CertifiedSeptember 19, 2025

✔ NPI 1194697284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · APRN11042360

1896 S 14TH ST STE 6, Fernandina Beach, FL 32034

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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 (PECOS)

Mr. Ross Davin Wise Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32034 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

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Other Providers at the Same Location NPPES

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

DR. PATRICIA BARRETO PH.D

Psychologist (Clinical)

1896 S 14TH ST STE 6
FERNANDINA BCH, FL 32034

Nassau County (190) 431-0965

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 Ross Wise's NPI number?

The NPI number for Ross Wise is 1194697284. It was assigned to this individual provider in the NPPES registry on September 19, 2025.

Where is Ross Wise located?

Ross Wise practices at 1896 S 14th St Ste 6, Fernandina Beach, FL 32034. The listed phone number is (904) 310-9652.

What is Ross Wise's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ross Wise enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ross Wise was last updated on September 19, 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.