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JONATHON JAMES WISE
NPI 1457853616
Case Manager/Care Coordinator in Ravenna, OH

Active since March 05, 2018PECOS Enrolled
3920 LOVERS LN, RAVENNA, OH 44266(330) 673-1347(330) 296-4494 Get Directions Write a Review

NPPES record last updated: March 5, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jonathon James Wise NPPES

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

JONATHON JAMES WISE (NPI 1457853616) is an individual case manager/care coordinator provider in Ravenna, Ohio and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457853616
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJONATHON JAMES WISE
Location Address3920 LOVERS LNRavenna, OH 44266-4200
Mailing Address5982 Rhodes RdKent, OH 44240-8100 · (330) 673-1347 · Fax (330) 678-3677
Phone(330) 673-1347
Fax(330) 296-4494
Sole ProprietorNo
Enumeration DateMarch 5, 2018
✔ NPI 1457853616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
3920 LOVERS LN, Ravenna, OH 44266
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathon James Wise 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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathon Wise reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coleman Professional Services, Inc.
4.3 mi
Mental Health
5982 RHODES RD
Kent, OH 44240
  • Reassigned Medicare billing, Ohio enrollment
  • 187 clinicians in this Medicare group
NPI 1982637633 (330) 673-1347

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

AMY MANGAN
Case Manager/Care Coordinator
3920 LOVERS LN
RAVENNA, OH 44266
Portage County (330) 673-1347
MICHAEL G WRIGHT
Case Manager/Care Coordinator
3920 LOVERS LN
RAVENNA, OH 44266
Portage County (330) 673-1347
JASON SHELLER
Counselor (Addiction (Substance Use Disorder))
3920 LOVERS LN
RAVENNA, OH 44266
Portage County (330) 673-1347
CAROL LEONA MAROTTA
Behavior Technician
3920 LOVERS LN
RAVENNA, OH 44266
Portage County (330) 673-1347
STEPHEN CARTER LPN
Licensed Practical Nurse
3920 LOVERS LN
RAVENNA, OH 44266
Portage County (330) 673-1347
KIM KOST LISW
Social Worker
3920 LOVERS LN
RAVENNA, OH 44266
Portage County (330) 673-1347
LATABIA D JOHNSON
Peer Specialist
3920 LOVERS LN
RAVENNA, OH 44266
Portage County (330) 673-1347
MS. MARGARET L NAGELLA
Case Manager/Care Coordinator
3920 LOVERS LN
RAVENNA, OH 44266
Portage County (330) 673-1347

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 Jonathon Wise's NPI number?

The NPI number for Jonathon Wise is 1457853616. It was assigned to this individual provider in the NPPES registry on March 5, 2018.

Where is Jonathon Wise located?

Jonathon Wise practices at 3920 Lovers Ln, Ravenna, OH 44266. The listed phone number is (330) 673-1347.

What is Jonathon Wise's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Is Jonathon Wise enrolled in Medicare?

Yes. Jonathon Wise is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathon Wise's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathon Wise reassigns Medicare benefits to Coleman Professional Services, Inc. (Kent, OH). The 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 Jonathon Wise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathon Wise accept?

Health plans from MedMutual list Jonathon 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 Jonathon Wise was last updated on March 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.