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JESSICA WISE M.D.
NPI 1336594050
Surgery - Surgical Critical Care in Fort Walton Beach, FL

Active since May 01, 2016PECOS EnrolledAccepts Medicare Assignment
320 RACETRACK RD NW STE 100B, FORT WALTON BEACH, FL 32547(850) 374-9610(850) 374-9611 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Wise M.d. NPPES

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

JESSICA WISE M.D. (NPI 1336594050) is an individual surgical critical care provider in Fort Walton Beach, Florida, licensed in Florida (158015) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Fort Walton-destin Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1336594050
Entity TypeIndividualFemale
Primary Taxonomy2086S0102X
Provider Legal NameJESSICA WISECredential: M.D.
Location Address320 RACETRACK RD NW STE 100BFort Walton Beach, FL 32547-1796
Mailing Address320 Racetrack Rd Nw Ste 100bFort Walton Beach, FL 32547-1796 · (850) 374-9610 · Fax (850) 374-9611
Phone(850) 374-9610
Fax(850) 374-9611
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 1, 2016
Last NPPES UpdateJuly 26, 2022
NPPES CertifiedJuly 26, 2022
✔ NPI 1336594050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in FL · 158015
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License 158015 (FL)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 158015 (FL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
320 RACETRACK RD NW STE 100B, Fort Walton Beach, FL 32547
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Other Identifiers 1

Medicaid1336594050NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Wise M.d. 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 ID6608250014
PECOS Enrollment IDI20220902002517
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jessica Wise reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Florida Multispecialty Physicians LLC
0.4 mi
Neurological Surgery
1032 MAR WALT DR, SUITE 250
Fort Walton Beach, FL 32547
  • Reassigned Medicare billing, Florida enrollment
  • 18 clinicians in this Medicare group
NPI 1790912269 (850) 863-3463
Florida Trauma Services, LLC
0.7 mi
Trauma Surgery
1703 LEWIS TURNER BLVD
Fort Walton Beach, FL 32547
  • Reassigned Medicare billing, Florida enrollment
  • 77 clinicians in this Medicare group
NPI 1477296952 (850) 864-4033

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
108 services74 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
67 services67 patients
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.
22 services13 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services20 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
18 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
17 services14 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Fort Walton-Destin Hospital

Acute Care Hospitals · Fort Walton Beach, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100223
Location1000 Mar-Walt DrFort Walton Beach, FL 32547 · Okaloosa County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

IVEY DANIELLE DAVIS APRN
Nurse Practitioner (Family)
320 RACETRACK RD NW STE 100B
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 357-8151

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 Jessica Wise's NPI number?

The NPI number for Jessica Wise is 1336594050. It was assigned to this individual provider in the NPPES registry on May 1, 2016.

Where is Jessica Wise located?

Jessica Wise practices at 320 Racetrack Rd NW Ste 100B, Fort Walton Beach, FL 32547. The listed phone number is (850) 374-9610.

What is Jessica Wise's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Jessica Wise enrolled in Medicare?

Yes. Jessica 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.

Which organizations bill Medicare for Jessica Wise's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Wise reassigns Medicare benefits to 2 organizations: Northwest Florida Multispecialty Physicians LLC (Fort Walton Beach, FL) and Florida Trauma Services, LLC (Fort Walton Beach, FL). 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 Jessica Wise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Wise accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 4 other insurers list Jessica 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.

Is Jessica Wise affiliated with any hospitals?

According to CMS data, Jessica Wise is affiliated with Hca Florida Fort Walton-Destin Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Wise was last updated on July 26, 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.