ANDREA SHAWN WISE AGACNP
NPI 1376275578
Nurse Practitioner - Acute Care in Owensboro, KY

Q: What is Andrea Wise's NPI number?

The NPI number for Andrea Wise is 1376275578. It was assigned to this individual provider in the NPPES registry on June 27, 2022. The provider is also known as Dre Shawn Wise Agacnp.

Q: What is Andrea Wise's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Wise was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 June 27, 2022PECOS EnrolledAccepts Medicare Assignment

3600 FREDERICA ST, OWENSBORO, KY 42301(270) 684-0023(270) 684-0065 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 16, 2025, Dec 19, 2022 (2 updates tracked since 2022).

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About Andrea Shawn Wise Agacnp NPPES

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

ANDREA SHAWN WISE AGACNP (NPI 1376275578) is an individual acute care provider in Owensboro, Kentucky, licensed in Kentucky (3017990) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1376275578

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameANDREA SHAWN WISECredential: AGACNP

Location Address3600 FREDERICA STOwensboro, KY 42301-6981

Mailing Address3600 Frederica StOwensboro, KY 42301-6981 · (270) 684-0023 · Fax (270) 684-0065

Phone(270) 684-0023

Fax(270) 684-0065

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 27, 2022

Last NPPES UpdateJuly 15, 20252 updates tracked since enumeration

NPPES CertifiedJuly 15, 2025

✔ NPI 1376275578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in KY · 3017990

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3017990 (KY)

3600 FREDERICA ST, Owensboro, KY 42301

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Other Names 1

Other Name (5)Dre Shawn Wise Agacnp

Secondary Practice Locations 3

Location 15025 S US Highway 231Beaver Dam, KY 42320-9473 · Phone (270) 274-6054 · Fax (410) 341-8099

Location 24604 US Highway 60 WMorganfield, KY 42437-6515 · Phone (270) 389-5148

Location 3107 Frazier Ct Ste 1BGeorgetown, KY 40324-9026 · Phone (859) 780-3444

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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

Andrea Shawn Wise Agacnp 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 ID941671655

PECOS Enrollment IDI20230117001306

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

Medicare enrollment records show Andrea Wise reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ak Healthcare Management Inc

Same address

Family

3600 FREDERICA ST, A & B
Owensboro, KY 42301

Reassigned Medicare billing, Kentucky enrollment
20 clinicians in this Medicare group

NPI 1053644401 (270) 684-0023

Ack Healthcare Management, LLC

18 mi

Nurse Practitioner

1520 4TH ST
Lewisport, KY 42351

Reassigned Medicare billing, Kentucky enrollment
27 clinicians in this Medicare group

NPI 1154748986 (270) 295-3890

Concord Medical Group Of Kentucky PLLC

37 mi

Emergency Medicine

1011 OLD HIGHWAY 60
Hardinsburg, KY 40143

Reassigned Medicare billing, Kentucky enrollment
182 clinicians in this Medicare group

NPI 1346746385 (270) 756-7000

Community Medical Associates

67 mi

Radiology

157 TOWNE DR STE 101
Elizabethtown, KY 42701

Reassigned Medicare billing, Kentucky enrollment
1,896 clinicians in this Medicare group

NPI 1669245510 (270) 740-5201

Green Valley Hospital Medicine Physicians, LLC

96 mi

Internal Medicine

1530 LONE OAK RD
Paducah, KY 42003

Reassigned Medicare billing, Kentucky enrollment
50 clinicians in this Medicare group

NPI 1215604236 (271) 444-2444

South Central Physicians PLLC

876 mi

Hospitalist

1602 AVENUE Q
Lubbock, TX 79401

Reassigned Medicare billing, Kentucky enrollment
79 clinicians in this Medicare group

NPI 1427611854 (888) 264-0330

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 42301 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 7

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

AK HEALTHCARE MANAGEMENT INC

Nurse Practitioner (Family)

3600 FREDERICA ST, A & B
OWENSBORO, KY 42301

Daviess County (270) 684-0023

MRS. TISHA MARLENE WARREN APRN, FNP-BC

Nurse Practitioner

3600 FREDERICA ST, SUITE B
OWENSBORO, KY 42301

Daviess County (270) 684-0023

MITCHEL KENT STUKEY D.C.

Chiropractor

3600 FREDERICA ST, SUITE A
OWENSBORO, KY 42301

Daviess County (270) 926-1774

MED 1ST OF OWENSBORO

Clinic/Center (Rehabilitation)

3600 FREDERICA ST, SUITEA
OWENSBORO, KY 42301

Daviess County (270) 926-1774

FELICIA ANN SHEPHARD APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

3600 FREDERICA ST
OWENSBORO, KY 42301

Daviess County (270) 256-9273

ALBERT F WARD ARNP

Nurse Practitioner

3600 FREDERICA ST, SUITE A & B
OWENSBORO, KY 42301

Daviess County (270) 684-0023

JACQUELYN F RINALDO P.T.

Physical Therapist

3600 FREDERICA ST, SUITE A
OWENSBORO, KY 42301

Daviess County (270) 926-1774

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 Andrea Wise's NPI number?

The NPI number for Andrea Wise is 1376275578. It was assigned to this individual provider in the NPPES registry on June 27, 2022. The provider is also known as Dre Shawn Wise Agacnp.

Where is Andrea Wise located?

Andrea Wise practices at 3600 Frederica St, Owensboro, KY 42301. The listed phone number is (270) 684-0023.

What is Andrea Wise's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Andrea Wise enrolled in Medicare?

Yes. Andrea 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 Andrea Wise's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Wise reassigns Medicare benefits to 6 organizations: Ak Healthcare Management Inc (Owensboro, KY), Ack Healthcare Management, LLC (Lewisport, KY), Concord Medical Group Of Kentucky PLLC (Hardinsburg, KY), Community Medical Associates (Elizabethtown, KY), Green Valley Hospital Medicine Physicians, LLC (Paducah, KY) and 1 more organization, listed in the Medicare section above. 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 Andrea Wise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Wise accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Andrea 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.

When was this NPI record last updated?

The NPPES record for Andrea Wise was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.