MR. GEORGE NATHAN WISE PA-C
NPI 1366433542
Physician Assistant in Tacoma, WA

Q: What is George Wise's NPI number?

The NPI number for George Wise is 1366433542. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Q: What is George Wise's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for George Wise was last updated on November 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 04, 2005PECOS Enrolled

9040 JACKSON AVE, TACOMA, WA 98431(360) 440-0655 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 21, 2019, Sep 17, 2019 (2 updates tracked since 2019).

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About Mr. George Nathan Wise Pa-c NPPES

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

MR. GEORGE NATHAN WISE PA-C (NPI 1366433542) is an individual physician assistant in Tacoma, Washington, licensed in Washington (PA10004592) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366433542

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. GEORGE NATHAN WISECredential: PA-C

Location Address9040 JACKSON AVETacoma, WA 98431-0001

Mailing Address2305 10th StBremerton, WA 98312-3850 · (360) 440-0655

Phone(360) 440-0655

Sole ProprietorNo

Enumeration DateNovember 4, 2005

Last NPPES UpdateNovember 21, 20192 updates tracked since enumeration

✔ NPI 1366433542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WA · PA10004592

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9040 JACKSON AVE, Tacoma, WA 98431

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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. George Nathan Wise Pa-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

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 20

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

MICHAEL JOHN MEANS CRNA

Nurse Anesthetist, Certified Registered