ANDREA SHAWN WISE AGACNP
NPI 1376275578
Nurse Practitioner - Acute Care in Owensboro, KY
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
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.
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.
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.
OWENSBORO, KY 42301
OWENSBORO, KY 42301
OWENSBORO, KY 42301
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.
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 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.
# Andrea Shawn Wise, AGACNP · NPI 1376275578
Acute Care physician in Owensboro, Kentucky. Individual provider, active in the CMS NPPES registry since June 27, 2022.
## Identity
- **NPI:** 1376275578 (Entity type: Individual)
- **Enumerated:** June 27, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 3017990 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 3600 FREDERICA ST, Owensboro, KY 42301-6981
- **Phone:** (270) 684-0023 · **Fax:** (270) 684-0065
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376275578) · Data from the CMS NPPES public registry.