TIFFANY ANTOINETTE WISE NP
NPI 1407504582
Nurse Practitioner - Family in Reidsville, NC

Active since March 16, 2022PECOS EnrolledAccepts Medicare Assignment
1352 W HARRISON ST, REIDSVILLE, NC 27320(336) 342-3338 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tiffany Antoinette Wise Np NPPES

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

TIFFANY ANTOINETTE WISE NP (NPI 1407504582) is an individual family provider in Reidsville, North Carolina, licensed in North Carolina (5015934) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1407504582
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY ANTOINETTE WISECredential: NP
Location Address1352 W HARRISON STReidsville, NC 27320-2606
Mailing Address1352 W Harrison StReidsville, NC 27320-2606
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 16, 2022
Last NPPES UpdateMarch 17, 2026
NPPES CertifiedMarch 17, 2026
NPI 1407504582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5015934
1352 W HARRISON ST, Reidsville, NC 27320

Other Identifiers 1

Medicaid5015934NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Tiffany Antoinette Wise Np 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 ID6800265414
PECOS Enrollment IDI20221202001889
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 27320 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 2

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

Internal Medicine (Nephrology)
1352 W HARRISON ST
REIDSVILLE, NC 27320
Specialist
1352 W HARRISON ST
REIDSVILLE, NC 27320

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 Tiffany Wise's NPI number?

The NPI number for Tiffany Wise is 1407504582. It was assigned to this individual provider in the NPPES registry on March 16, 2022.

Where is Tiffany Wise located?

Tiffany Wise practices at 1352 W Harrison St, Reidsville, NC 27320. The listed phone number is (336) 342-3338.

What is Tiffany Wise's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tiffany Wise enrolled in Medicare?

Yes. Tiffany 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.

What insurance does Tiffany Wise accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and UnitedHealthcare list Tiffany 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 Tiffany Wise was last updated on March 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.