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MR. JONATHAN RICHARD WIESE AGNP
NPI 1487130746
Nurse Practitioner - Primary Care in Saint Louis, MO

Active since July 19, 2018PECOS EnrolledAccepts Medicare Assignment
4921 PARKVIEW PL, DIV NEUROLOGY STROKE, STE 6C, SAINT LOUIS, MO 63110(314) 362-7382(314) 747-3342 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2024, Jul 19, 2018 (2 updates tracked since 2018).

About Mr. Jonathan Richard Wiese Agnp NPPES

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

MR. JONATHAN RICHARD WIESE AGNP (NPI 1487130746) is an individual primary care provider in Saint Louis, Missouri, licensed in Missouri (2024008621) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2011).

NPPES Registry Identity

NPI1487130746
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMR. JONATHAN RICHARD WIESECredential: AGNP
Location Address4921 PARKVIEW PL, DIV NEUROLOGY STROKE, STE 6CSaint Louis, MO 63110-1032
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-7382 · Fax (314) 747-3342
Phone(314) 362-7382
Fax(314) 747-3342
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2011
Enumeration DateJuly 19, 2018
Last NPPES UpdateApril 17, 20252 updates tracked since enumeration
✔ NPI 1487130746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MO · 2024008621
4921 PARKVIEW PL, Saint Louis, MO 63110
Open in Google Maps ↗

Other Identifiers 1

Medicaid420141831MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.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

Mr. Jonathan Richard Wiese Agnp 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 ID3678807047
PECOS Enrollment IDI20240711003563
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
158 services146 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
84 services82 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
22 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 20

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

MS. CHERYL ANNE WOOLSEY PA
Physician Assistant
4921 PARKVIEW PL, DIV SURG HPB, STE 12B
SAINT LOUIS, MO 63110
St. Louis City (314) 747-0410
DR. CHARLES PHILLIPS JONES MD
Urology
4921 PARKVIEW PL, DIV SURG UROLOGY, STE 11C
SAINT LOUIS, MO 63110
St. Louis City (314) 362-8200
DR. PRABHA RANGANATHAN MD
Internal Medicine (Rheumatology)
4921 PARKVIEW PL, DIV IM RHEUMATOLOGY, STE 5C
SAINT LOUIS, MO 63110
St. Louis City (314) 286-2635
DR. RALPH GERARD DACEY JR. MD
Neurological Surgery
4921 PARKVIEW PL, DEPT NEUROLOGICAL SURGERY, STE 6B/6C
SAINT LOUIS, MO 63110
St. Louis City (314) 362-3577
DR. KRASIMIRA MIKHAILOVA MIKHOVA MD
Internal Medicine (Clinical Cardiac Electrophysiology)
4921 PARKVIEW PL, DIV IM CARDIOLOGY, STE 8B
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1291
DR. JEE YOUNG HAN MD
Psychiatry & Neurology (Neurology)
4921 PARKVIEW PL, DIV NEUROLOGY AGING AND DEMENTIA, STE 6C
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1408
MS. MAREN JORGENSEN OT
Occupational Therapist
4921 PARKVIEW PL, DEPT OCCUPATIONAL THERAPY, STE 6F
SAINT LOUIS, MO 63110
St. Louis City (314) 286-1669
DR. ADRIAN SHIFREN MD
Internal Medicine (Pulmonary Disease)
4921 PARKVIEW PL, DIV IM PULMONARY AND CCM, 8TH FL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-8917

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 Jonathan Wiese's NPI number?

The NPI number for Jonathan Wiese is 1487130746. It was assigned to this individual provider in the NPPES registry on July 19, 2018.

Where is Jonathan Wiese located?

Jonathan Wiese practices at 4921 Parkview Pl Div Neurology Stroke, Ste 6C, Saint Louis, MO 63110. The listed phone number is (314) 362-7382.

What is Jonathan Wiese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Jonathan Wiese enrolled in Medicare?

Yes. Jonathan Wiese 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 Jonathan Wiese accept?

Health plans from Cox HealthPlans list Jonathan Wiese 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 Jonathan Wiese was last updated on April 17, 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.