DR. AMY JORDAN WISDOM
NPI 1275119612
Radiology - Radiation Oncology in Boston, MA
About Dr. Amy Jordan Wisdom NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMY JORDAN WISDOM (NPI 1275119612) is an individual radiation oncology provider in Boston, Massachusetts, licensed in Massachusetts (1022845) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Duke University School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Amy Jordan Wisdom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Amy Wisdom reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,360 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,234 clinicians in this Medicare group
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 4,574 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02114 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.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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 Amy Wisdom's NPI number?
The NPI number for Amy Wisdom is 1275119612. It was assigned to this individual provider in the NPPES registry on March 23, 2021.
Where is Amy Wisdom located?
Amy Wisdom practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 665-1000.
What is Amy Wisdom's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.
Is Amy Wisdom enrolled in Medicare?
Yes. Amy Wisdom is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Amy Wisdom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Wisdom reassigns Medicare benefits to 3 organizations: Massachusetts General Physicians Organization Inc (Boston, MA), The General Hospital Corporation (Boston, MA) and Brigham & Womens Physicians Organization Inc (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Wisdom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Wisdom accept?
Health plans from Taro Health list Amy Wisdom 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 Amy Wisdom was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Amy Jordan Wisdom · NPI 1275119612
Radiation Oncology physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since March 23, 2021.
## Identity
- **NPI:** 1275119612 (Entity type: Individual)
- **Enumerated:** March 23, 2021
- **Primary specialty:** Radiology - Radiation Oncology · taxonomy 2085R0001X
- **State license:** 1022845 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 FRUIT ST, Boston, MA 02114-2621
- **Phone:** (617) 665-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Massachusetts General Physicians Organization Inc (NPI 1801874573, Boston, MA); The General Hospital Corporation (NPI 1023049236, Boston, MA); Brigham & Womens Physicians Organization Inc (NPI 1033535497, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Duke University School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** March 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275119612) · Data from the CMS NPPES public registry.