ANDREA DAWN WISE AGACNP-BC
NPI 1417462151
Nurse Practitioner - Acute Care in Wichita, KS

Q: What is Andrea Wise's NPI number?

The NPI number for Andrea Wise is 1417462151. It was assigned to this individual provider in the NPPES registry on December 4, 2017.

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 December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 December 04, 2017PECOS EnrolledAccepts Medicare Assignment

1035 N EMPORIA AVE STE 105, WICHITA, KS 67214(800) 263-3366 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2024, Dec 4, 2017 (2 updates tracked since 2017).

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About Andrea Dawn Wise Agacnp-bc NPPES

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

ANDREA DAWN WISE AGACNP-BC (NPI 1417462151) is an individual acute care provider in Wichita, Kansas, licensed in Kansas (77871) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1417462151

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameANDREA DAWN WISECredential: AGACNP-BC

Location Address1035 N EMPORIA AVE STE 105Wichita, KS 67214-2998

Mailing Address1880 Kendrick LnEl Dorado, KS 67042-4064 · (316) 734-0443

Phone(800) 263-3366

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateDecember 4, 2017

Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration

NPPES CertifiedDecember 10, 2024

✔ NPI 1417462151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LA2100X

License✔ Licensed in KS · 77871

1035 N EMPORIA AVE STE 105, Wichita, KS 67214

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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 Dawn Wise Agacnp-bc 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 ID1658630165

PECOS Enrollment IDI20180108003035

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 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kansas Nephrology Physicians PA

Same address

Nephrology

1035 N EMPORIA ST, SUITE 105
Wichita, KS 67214

Reassigned Medicare billing, Kansas enrollment
16 clinicians in this Medicare group

NPI 1093780454 (316) 263-7285

Kansas Care Connect, LLC

4.6 mi

Multi-Specialty

7111 E 21ST ST N STE 104
Wichita, KS 67206

Reassigned Medicare billing, Kansas enrollment
6 clinicians in this Medicare group

NPI 1528756590 (316) 370-2406

Greenwood County Hospital

58 mi

Critical Access

100 WEST 16TH ST.
Eureka, KS 67045

Reassigned Medicare billing, Kansas enrollment
57 clinicians in this Medicare group

NPI 1629044961 (620) 583-5274

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 67214 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

60%1,431 patients1/55-star benchmark: 99%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

21%237 patients1/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%237 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

3%237 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

6%237 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier36 claims36 services$877.90 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

SALAM AJWAD KADHEM

Internal Medicine (Nephrology)